TEE guided minimally invasive transthoracic device closure of ventricular septal defect versus convention-al thoracotomy: a comparative study of propensity score matching
10.3969/j.issn.1006-5725.2018.05.025
- VernacularTitle:经胸封堵与正中开胸修补室间隔缺损的倾向性评分对比
- Author:
Yong CAO
1
;
Bo CHEN
;
Lian HU
;
Chao LIU
;
Huasen CHENG
;
Guoxiong WEI
;
Fanwu CHI
;
Guanshui YU
Author Information
1. 高州市人民医院心血管外科 广东高州 525200
- Keywords:
minimally invasive transthoracic device closure;
conventional thoracotomy;
ventricular sep-tal defect;
propensity score matching
- From:
The Journal of Practical Medicine
2018;34(5):796-799
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the difference between transthoracic device closure of ventricular sep-tal defect and conventional thoracotomy and examine the effect and safety of transesophageal echocardiography (TEE) guided minimally invasive transthoracic device closure of ventricular septal defect. Methods Three hun-dred and sixty-eight patients underwent isolated ventricular septal defect surgery in our hospital from May 2014 to May 2016. There were 40 patients in group A underwent TEE guided minimally invasive transthoracic device clo-sure of ventricular septal defect and 328 patients in group B underwent conventional thoracotomy surgery.By using the method of propensity score matching,we selected 40 conventional thoracotomy patients as a control group in our study. Results All patients were survived after surgery without death and other serious complications. Compared with conventional thoracotomy surgery,patient with transthoracic device closure of ventricular septal defect had sta-tistical improvement in surgery time(1.97 ± 0.48 vs. 3.55 ± 1.95)h, ICU stayed time(21.15 ± 30.52 vs. 38.37 ± 10.91)h,volume of thoracic drainag(28.39 ± 32.67 vs.174.84 ± 85.36)mL,surgery incision length(2.98 ± 0.72 vs. 11.76 ± 2.89)cm.There were no significant differences in postoperative valvular regurgitation,arrhythmia and resid-ual shunt between the two groups.Conclusion TEE guided minimally invasive transthoracic device closure of ven-tricular septal defect is safe,effective,feasible,less trauma,less bleeding,faster recovery and etc.
