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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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在儿科心脏外科手术中,上部部分胸骨分裂.

Fumiaki Shikata^1,2,3, Jay Shah^1,4,5, Supreet Marathe^1,2,3

¹Queensland Pediatric Cardiac Service, Queensland Children's Hospital, Level 7F, Clinical Directorate, PO Box 3474, South Brisbane, QLD, 4101, Australia.

General thoracic and cardiovascular surgery

|January 16, 2024

概括

上部部分胸裂是小儿心脏手术的安全和有效方法,没有死亡率和有利的结果. 这种微创手术为接受复杂心脏手术的年轻患者提供了美容效益.

关键词:

遗传性心脏病是一种先天性心脏病.生产性心脏手术是一种先天性心脏手术.微创手术是最少的侵入性手术.结果的结果.

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科学领域:

心血管外科心血管外科
儿科心脏手术儿科心脏手术
胸部外科手术胸部外科手术

背景情况:

胸骨是儿科心脏手术的常见手术方法.
在儿科心脏外科手术中,越来越多地喜欢最少的侵入性技术.

研究的目的:

在儿科心脏外科手术中评估上部部分胸裂的安全性和结果.
评估这种方法对各种先天性心脏缺陷的可行性.

主要方法:

从2016年到2022年,对51名经过心脏手术的儿科患者进行了回顾性审查,这些患者使用上部部分胸骨分裂进行了心脏手术.
程序包括血管环修复,亚大道膜切除,VSD关闭和大道门修复.
该方法涉及中线皮肤切口和上部手腕切口,无需使用专用仪器.

主要成果:

在研究队列中没有观察到死亡率.
一名患者在转换为全胸切除术后需要重新探索出血;没有发生伤口并发症.
41%的患者在手术室被抽管,剩下的76%在24小时内被抽管. 11名患者不需要接受ICU治疗.

结论:

上部部分胸裂是针对儿童心脏手术的一种简单而安全的手术方法.
与全胸切除相比,这种技术提供了更好的化品效果.
这种方法与减少ICU和住院时间有关.