摘要
传统二尖瓣置换术通常是通过使用体外循环全锯开胸骨在心脏停跳下进行,手术创伤大,术后恢复缓慢。近年来,随着手术器械的改进及新技术的应用,微创技术逐渐应用于二尖瓣置换术过程中。手术径路的改进体现在小切口、胸腔镜辅助小切口、机器人辅助技术、全胸腔镜技术的应用;体外循环的微创集中在介入技术的应用。与传统手术相比,微创二尖瓣置换术同样安全有效,且具有创伤小、出血少、术后并发症少、住院时间短、符合美容等优势,愈加受到患者和医生的青睐,近年来发展迅速。本文就微创二尖瓣置换术的研究现状与进展作一综述。
Conventional mitral valve replacement is usually performed by using a cardiopulmonary bypass to fully open the sternum under cardiac arrest.The operation is traumatic and the recovery is slow.In recent years,with the improvement of surgical instruments and the application of new technologies,minimally invasive techniques have gradually been applied in the process of mitral valve replacement.The improvement of the surgical approach is reflected in the application of small incisions,thoracoscopy-assisted small incisions,robotic assisted technology,and full thoracoscopy technology;minimally invasive extracorporeal circulation is focused on the application of interventional technology.Compared with traditional surgery,minimally invasive mitral valve replacement is also safe and effective,and has the advantages of less trauma,less bleeding,fewer postoperative complications,shorter hospital stay,and meeting aesthetics.It has become more and more popular with patients and doctors.It has developed rapidly in recent years.This article reviews the current status and research progress of minimally invasive mitral valve replacement.
作者
尚鹏飞
李柏钧
林辉
SHANG Peng-fei;LI Bai-jun;LinHui(Youjiang Medical College for Nationalities,Baise 533000,Guangxi,China;Department of Thoracic and Cardiovascular Surgery,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi,China)
出处
《医学信息》
2020年第4期28-31,共4页
Journal of Medical Information
基金
广西卫生厅重点科研课题(编号：2010030)
广西卫计委自筹经费科研课题(编号：Z2016603)
广西自然科学基金项目(编号：2016GXNSFAA380196)
关键词
二尖瓣置换术
小切口
全胸腔镜手术
机器人辅助技术
介入技术
Mitral valve replacement
Small incision
Total thoracoscopic surgery
Robot-assisted technology
Interventional technology
作者简介
尚鹏飞(1991.1-),男,河南柘城人,硕士研究生,住院医师,主要从事胸心外科疾病的研究;通讯作者:林辉(1957.11-),男,广西北海人,博士,博士生导师,主任医师,主要从事心脏不停跳心内直视手术的研究。
