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| Comparative Analysis of Efficacy of Cardiopulmonary Bypass Repair with Right Anterolateral Thoracotomy Incision and Cardiopulmonary Bypass Rpair with Transthoracic Median Incision in the treatment of Atrial Septal Defect |
| LIU Jihong, MENG Qingtao |
| Zhongshan Hospital Affiliated to Dalian University, Liaoning Dalian 116600, China |
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Abstract Objective: To analyze and compare the clinical efficacy of cardiopulmonary bypass repair with right anterolateral thoracotomy incision and cardiopulmonary bypass repair with transthoracic median incision in the treatment of atrial septal defect. Methods: The clinical data of each 46 patients with atrial septal defect treated by cardiopulmonary bypass repair with right anterolateral thoracotomy incision (right small incision group) and cardiopulmonary bypass repair with transthoracic median incision (median incision group) were retrospectively analyzed. The intraoperative conditions, postoperative recovery, occurrence of postoperative complications and patient satisfaction were recorded in the two groups, and the body image status, and quality of life were compared between the two groups before operation and at 6 months after operation. Results: There were no significant differences in the intraoperative cardiopulmonary bypass time and aortic crossclamp time between the two groups (P>0.05). However, the intraoperative blood loss, incision length and mechanical ventilation time, postoperative intensive care time, chest drainage volume and postoperative hospital stay in right small incision group were lower than those in median incision group (P<0.05). There was no significant difference in the occurrence of postoperative complications between the two groups (P>0.05). The patient satisfaction in right small incision group was significantly better than that in median incision group (P<0.05). At 6 months after operation, the BISS scores in the two groups were higher than those before operation (P<0.05), but the score in median incision group was higher than that in right small incision group (P<0.05). The QLI scores in the two groups were also higher than those before operation (P<0.05), but the score in right small incision group was higher than that in median incision group (P<0.05). Conclusion: Cardiopulmonary bypass repair with transthoracic median incision and cardiopulmonary bypass repair with right anterolateral thoracotomy incision both have good efficacy and safety in the treatment of atrial septal defect. However, right anterolateral thoracotomy incision procedure is more advantageous in reducing the surgical trauma, promoting postoperative rehabilitation and improving postoperative quality of life and body image, and it can improve patient satisfaction.
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2019, Vol. 25 
