冠状动脉旁路移植术同期行室壁瘤切除术61例疗效分析  

Efficacy Analysis on 61cases of Coronary Artery Bypass Grafting Combined with Aneurysm Resection Patients

作　　者：伊加提.司马义 李俊红[1] 

机构地区：[1]新疆医科大学第一附属医院心脏外科一科,乌鲁木齐830054

出　　处：《新疆医学》2015年第4期436-438,共3页Xinjiang Medical Journal

摘　　要：目的探讨冠状动脉旁路移植术同期行左心室室壁瘤切除术的疗效。方法 2008年1月至2014年10月,对冠心病合并室壁瘤手术治疗的61例患者临床资料进行分析,其中男性51例,女性10例;年龄(51.9+4.2)岁。所有患者均行冠状动脉旁路移植术,同期行线性缝合术30例,心内膜环缩成形术31例,血栓清除术18例。结果术后左心室舒张末期内径较术前缩小;左心室射血分数较术前升高;差异均有统计学意义(P<0.05),围术期死亡2例,均死于严重低心排综合征。53例术后随访3-18个月,随访率87%,心功能I^II级,1例术后12个月死于左心功能衰竭。结论根据室壁瘤的大小和病变程度合理的选择手术方式、有效的心肌保护是手术成功的关键。Objective To explore the efficacy of two surgical procedure on heart ventricle aneurysm. Methods We summarized 61 cases coronary heart disease with ventricle aneurysm which include 51 males and 10 females form 2008.1 to 2014.10, average age is 51.9＋4.2. All the patients have undergone the coronary artery bypass graft operation and concomitant procedure involving 30 cases of linear repairmen, 31 cases of endoventriculoplasty, 18 cases of thrombectomy. Results Postoperative left ventricular end diastolic diameter decreases while left ventricle ejection fraction increases compared with the preoperative data and The difference is statistically significant （ P〈0. 05）. perioperative death in 2 cases due to severe low cardiac output syndrome. 53 cases were followed up for 3-18 months, follow-up rate is 87%, cardiac function was class I-II, 1 cases died of left ventricular failure after 12 months. Conclusions We should chose reasonable surgical approach According to the size and lesion extent of aneurysm, it is crucial event for success that take effective steps on myocardium protection.

关 键 词：冠状动脉旁路移植术 左心室室壁瘤 线性缝合术 心内膜环缩成形术 

分 类 号：R654.2[医药卫生—外科学]