Davis J T, Baciewicz F A, Suriyapa S, Vauthy P, Polamreddy R, Barnett B
Department of Surgery, Medical College of Ohio, Toledo 43699.
Ann Thorac Surg. 1988 Aug;46(2):214-5. doi: 10.1016/s0003-4975(10)65901-2.
A series of 106 consecutive ductal closures in premature infants was reviewed to assess the incidence of left vocal cord paralysis. To our knowledge, this syndrome is described for the first time in premature infants. In our experience, it is a relatively benign complication that completely resolves clinically in several weeks. This complication occurred in 5.2% of patients closed by suture ligature and in none of those closed by a surgical clip. Although the series is too small for this difference to be statistically significant, we believe it strongly favors the use of the clip, with less dissection.
回顾了106例连续的早产儿导管闭合病例，以评估左侧声带麻痹的发生率。据我们所知，该综合征首次在早产儿中被描述。根据我们的经验，这是一种相对良性的并发症，在临床上数周内可完全消退。该并发症在通过缝线结扎闭合导管的患者中发生率为5.2%，而在通过手术夹闭合导管的患者中未发生。尽管该病例系列规模太小，无法使这种差异具有统计学意义，但我们坚信这有力地支持使用手术夹，因为其操作时的解剖较少。
