冠状动脉旁路移植术后近中期桥血管闭塞的相关高危因素分析  

Risk factors related with early mid-term graft occlusion after coronary artery bypass graft

作　　者：石秋林 刘静[1] 羡海英[1] 陈登峰[1] SHI Qiu-lin, LIU Jing, XIAN Hai-ying, et al.(Cardiac Surgery, Hengshui People＇s Hospital, Hengshui 053000, Chin)

机构地区：[1]哈励逊国际和平医院(衡水市人民医院)心外科

出　　处：《中国心血管病研究》2018年第3期259-262,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的分析冠状动脉旁路移植术（CABG）后近中期桥血管的通畅率及其相关的危险因素，为术后患者预防桥血管病变提供依据。方法选取2009年9月至2014年9月在衡水市人民医院心外科接受首次CABG术患者38例，人选者在复查期间未再行任何血管再通术（PTCA、PCI及CABG等），术后4-59（28．1±17．6）个月复查时均行CTA检查，部分患者行CAG检查对照，分别计算动脉桥血管和静脉桥血管的通畅情况，分析影响CABG术后患者桥血管通畅情况的高危因素。结果CABG术后桥血管的总通畅率为75．3％；LIMA的总通畅率为92．9％，SV的总通畅率为64．4％。结论乳内动脉桥血管通畅率明显高于大隐静脉桥血管。患者的手术年龄、性别以及综合相关危险因素[包括肥胖、吸烟、心肌梗死史、家族史、高血压、糖尿病、高脂血症、脑血管意外史及有无症状（包括胸前区疼痛、胸闷憋气、夜间呼吸困难）等]都会影响桥血管通畅率。Objective To analyze the risk factors related with graft occlusion after coronary artery bypass graft （CABG）. Methods From September 2009 to September 2014, 38 patients underwent CABG. Results The patency rate of all grafts after coronary artery bypass grafting was 75.3%, and 92.9% for LIMA;the patency rate was 64.4% for saphenous vein grafts. Conclusion The LIMA grafts have a better long-term patency than saphenous vein. The age, gender, and comprehensive risk factors （Including obesity, smoking, history, family history of myocardial infarction, hypertension, diabetes, hyperlipidemia, cerebrovascular accident history and presence of symptoms, including chest pain, chest tightness of breath, difficulty in breathing at night） can affect the bridge vessel ventilation rate.

关 键 词：冠状动脉旁路移植术 桥血管 通畅率 高危因素 

分 类 号：R654.2[医药卫生—外科学]