A comparative study of the efficacy of ventricular septal defect in membrane position between interventional radiology and thoracotomy in children
10.3969/j.issn.1671-8348.2015.23.017
- VernacularTitle:儿童膜周部室间隔缺损介入与开胸治疗疗效比较研究
- Author:
Jidong SONG
;
Jidong YAN
- Publication Type:Journal Article
- Keywords:
ventricular septal defect;
intervention;
thoracotomy;
treatment outcome;
children
- From:
Chongqing Medicine
2015;(23):3221-3223
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare surgical and interventional treatment in congenital ventricular septal defect in membrane position.Methods Among ventricular septal defect (VSD)in 384 cases in children,202 cases had surgical repair thoracotomy (tho-racotomy group),and 182 cases had interventional treatment (intervention group).The comparison items included operative time, success rate,intraoperative and postoperative blood transfusion,complication rate,postoperative recovery for several days after ICU monitoring time,CPB time,pericardial drainage time,duration of mechanical ventilation.Results Children in the intervention group did not need blood transfusions,ICU care,pericardial drainage,mechanical ventilation.In the thoracotomy group,the blood transfu-sion was (372.45±200.88)mL,postoperative ICU monitoring time was (3.21 ±2.1 7)days,CPB time was (71.09 ±34.92)mi-nutes,pericardial drainage time was (3.52 ± 1.22)days,mechanical ventilation time was (67.09 ±43.83)minutes.The operative time and postoperative recovery time in the intervention group was significantly shorter than thoracotomy group (P <0.05 ).The incidence of postoperative complications in the intervention group was significantly lower than thoracotomy group (P <0.05).Con-clusion Under the circumstances of the same indication,the interventional treatment is more beneficial to physical and mental health of children.
