传统开胸手术与心脏微创手术对心脏病患者临床疗效及术后并发症的影响

doi:10.3969/j.issn.1006-6233.2025.05.022

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Abstract Objective: To explore the clinical efficacy of traditional thoracotomy and minimally invasive cardiac surgery on patients with heart disease (HD) and influence on postoperative complications. Methods: The clinical data of 306 HD patients in the hospital from August 2021 to June 2024 were retrospectively analyzed. According to the surgical methods, the enrolled patients were divided into thoracotomy group (traditional thoracotomy, n=178) and minimally invasive group (minimally invasive cardiac surgery, n=128). The clinical effectiveness, surgery-related indexes, postoperative indexes, pulmonary artery and venous compliance immediately after surgery, occurrence of related complications and world health organization quality of life scale (WHO QOL-BREF) scores were compared between groups. Results: The total effective rates in the minimally invasive group and the thoracotomy group were 94.53% and 84.27% respectively, and the minimally invasive group had higher total effective rate than the thoracotomy group (P<0.05). The incision size in the minimally invasive group was smaller than that in the thoracotomy group, and the aortic occlusion time, cardiopulmonary shunt time, intensive care unit stay, ventilator assistance time and hospitalization time were shorter, and the total amount of thoracic drainage within 24 hours and the amount of bleeding during surgery were less, and the immediate performances of postoperative pulmonary artery and venous compliance were better than those in the thoracotomy group (P<0.05). The total incidence of complications in minimally invasive group and thoracotomy group was 10.94% and 29.21%, respectively, and the minimally invasive group was lower than the thoracotomy group, the difference was statistically significant (P<0.05). The increases of scores of aspects of WHOQOL-BREF scale were higher in the minimally invasive group than those in the thoracotomy group (P<0.05). Conclusion: Compared with traditional thoracotomy, minimally invasive surgery for HD has the advantages of slight surgical trauma, rapid recovery of patients, improvement of lung function compliance, reduction of complication risk, and improvement of quality of life, with important clinical application value.

Key words： Traditional thoracotomy Minimally invasive cardiac surgery Heart disease Efficacy Complications

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2025.05.022 OR http://www.hbyxzzs.cn/EN/Y2025/V31/I5/827

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