经股动脉与左桡动脉途径行冠状动脉旁路移植术后桥血管造影效果的比较研究  

A Comparative Study on Application Effect between Transfemoral Approach and Left Transradial Approach Bridge Angiography in Postoperative Patients Treated by Coronary Artery Bypass Grafting

作　　者：陈新敬[1] 浦晓东[1] 郭延松[1] 陈诗泉[1] 颜光烈[1] 

机构地区：[1]福建省立医院心内三科,福建省福州市350001

出　　处：《实用心脑肺血管病杂志》2015年第7期85-88,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的比较经股动脉与左桡动脉途径行冠状动脉旁路移植术(CABG)后桥血管造影的效果。方法选取福建省立医院2007年8月—2014年12月CABG后行桥血管造影的患者134例,随机分为股动脉组(n=67)和左桡动脉组(n=67)。股动脉组患者经股动脉途径行CABG后桥血管造影,左桡动脉组患者经左桡动脉途径行CABG后桥血管造影,比较两组患者左侧内乳动脉(LIMA)、左回旋支桥血管、右冠状动脉桥血管造影操作时间、透视时间及射线暴露量,两组患者并发症发生率、桥血管造影成功率、术后卧床时间及手术费用。结果股动脉组患者LIMA造影操作时间和透视时间长于左桡动脉组、射线暴露量高于左桡动脉组(P<0.05);两组患者左回旋支桥血管、右冠状动脉桥血管造影操作时间、透视时间及射线暴露量比较,差异均无统计学意义(P>0.05)。股动脉组患者并发症发生率和手术费用高于左桡动脉组、术后卧床时间长于左桡动脉组(P<0.05);两组患者桥血管造影成功率比较,差异无统计学意义(P>0.05)。结论经左桡动脉途径行CABG后桥血管造影较股动脉途径更安全、有效,能降低患者并发症发生率,减少手术费用,缩短术后卧床时间,可作为CABG后桥血管造影的优先考虑路径。Objective To compare the application effect between transfemoral approach and left transradial approach bridge angiography in postoperative patients treated by coronary artery bypass grafting. Methods A total of 134 postoperative patients treated by coronary bypass grafting were selected in Fujian Provincial Hospital from August 2007 to December 2014,and they were randomly divided into A group and B group,each of 67 cases. Patients of A group underwent left transradial approach bridge angiography,while patients of B group underwent transfemoral approach bridge angiography. Operation time,fluoroscopy time and radiation doses of left internal mammary artery,left circumflex branch bridge vessel and right coronary artery bridge vessel,incidence of complications, success rate of bridge angiography, postoperative in-bed time and operation costs were compared between the two groups. Results Operation time and fluoroscopy time of left internal mammary artery of B group were statistically significantly longer than those of A group, and radiation doses of left internal mammary artery of B group was statistically significantly higher than that of A group（ P〈0. 05）; no statistically significant differences of operation time,fluoroscopy time or radiation doses of left circumflex branch bridge vessel or right coronary artery bridge vessel was found between the two groups（ P〈0. 05）. The incidence of complications and operation costs of B group were statistically significantly higher than those of A group,postoperative in-bed time of B group was statistically significantly longer than that of A group（ P〈0. 05）,while no statistically significant differences of success rate of bridge angiography was found between the two groups（ P〈0. 05）. Conclusion Left transradial approach bridge angiography is more effective and safe than transfemoral approach bridge angiography in patients treated by coronary artery bypass grafting,which can reduce the incidence of complications and operation costs,shorten the postopera

关 键 词：冠状动脉旁路移植术 非体外循环 桡动脉 股动脉 血管造影术 疗效比较研究 

分 类 号：R473.6[医药卫生—护理学]