50例冠状动脉搭桥术的临床研究  

The clinical research of coronary artery bypass graft in 50 patients

作　　者：叶宁[1] 温昭科[1] 陈德熙[1] 叶群南[1] 梁汉雄[1] 贺榜福[1] 陆卫军[1] 李香伟[1] 梁胜景[1] 卢昌超[1] 

机构地区：[1]广西壮族自治区人民医院心胸血管外科,南宁530021

出　　处：《医学文选》2001年第2期134-136,共3页Anthology of Medicine

摘　　要：目的观察冠状动脉搭桥术的临床疗效。方法选择经内科治疗仍反复心绞痛发作或不适于 ＰＴＣＡ等治疗的冠心病人５０例，均在体外循环、心脏停跳下行冠状动脉搭桥术。选用的血管桥包括大隐静脉、乳内动脉和桡动脉。共搭１４５根桥，平均每例２．９支桥。５例同时行室壁瘤切除或成形术。结果治愈４８例，死亡２例。４８例长期随访，效果良好。结论 对有冠脉搭桥指征的病人行搭桥手术，疗效安全可靠，远期效果好。Objective The observation of clinial effect in coronary artery by pass graft. Methods We chose 50 cases of coronary heart disease (CHD), which had been treated by internal medical therapy without effect or unsuitable for percutaneous transluminal coronary argioplasty (PTCA) applying coronary artery bypass graft (CABG). All cases were operated under cardiopulmonary bypass without heary bdeating. The grafts were saphenous vein,internal mammary artery and radial artery, Total grafts number was 145 and average number was 2. 9 on each case. Resection or plastic operation of ventricular aneurysm were used in 5 cases. Result 48 patients recurred and 2 died. The 48 cases with long-term followed up got good curative effect. Conclusion CABG is a safe therapy with good long-term result to patient who is suitable for it.

关 键 词：冠心病 冠状动脉搭桥 血管桥 

分 类 号：R654.2[医药卫生—外科学]