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新技术微创切口如绣小花

健康 来源:健康报 2018年06月11日 14:57 A-A+ 二维码
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原标题:

  健康报讯(通讯员董菊 特约记者吴倪娜 记者程守勤)近日,江苏省人民医院多学科通力合作,在复合手术室为78岁的吴老成功实施了经心尖介入主动脉瓣植入术。“只用了半小时,伤口只有4厘米,就像绣了一朵小花。”吴老说。

  吴老前不久突然胸闷、气喘,江苏省人民医院心脏大血管外科主任邵永丰接诊后,发现二维超声心动图显示其主动脉瓣重度关闭不全,胸部CT显示有双侧肺炎伴有胸腔积液,双源CT检查提示有冠心病,加之患者有多年的慢性阻塞性肺气肿等多种复杂基础病,外科手术置换瓣膜显然不适合患者。邵永丰团队组织多学科多次讨论,认为经心尖导管主动脉瓣植入术是最佳的治疗方案。

  专家在患者左前胸外侧第五肋间近心尖部切了一个小口,然后通过操控一根细长的导管,将全新的心脏瓣膜送入到病变主动脉瓣的位置上并成功释放植入。术中造影显示,新瓣膜成形良好,定位准确。整个手术过程顺利,术后吴老恢复十分顺利,第4天就可以下床行走了。

  邵永丰表示,该介入微创手术心脏不用停跳,不用体外循环,手术创伤小、耗时少,同时规避了肺部感染等并发症。

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我要纠错编辑:魏利洁 责任编辑:张福伟
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