冠状动脉旁路移植术中不同方式获取大隐静脉的近期效果比较  

Shor-term effect of coronary artery bypass grafting by different ways for harvesting great saphenous vein

作　　者：赵俊涛[1] 张伟峰[1] 刘广文[1] 黄建岭 张富山[1] 张磊磊[1] ZHAO Juntao;ZHANG Weifeng;LIU Guangwen;HUANG Jianling;ZHANG Fushan;ZHANG Leilei(The Seventh Ward of Cardiac Surgery, The Seventh People＇s Hospital of Henan Province, Zhengzhou, 450000, P.R.Chin)

机构地区：[1]河南省郑州市第七人民医院心脏外科七病区,郑州450000

出　　处：《中国胸心血管外科临床杂志》2018年第7期593-595,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的对比不接触技术和常规方法获取大隐静脉在冠状动脉旁路移植术术中及术后近期指标的差异。方法回顾性分析2016年4月至2017年7月我院使用不接触技术获取大隐静脉(NT组)或常规方法获取大隐静脉(常规组)进行冠状动脉旁路移植术患者的临床资料。常规组39例,男26例、女13例,年龄40~75(60.1±8.0)岁;NT组38例,男21例、女17例,年龄38~75(61.3±6.9)岁。对比两组手术时间、术后呼吸机使用时间、术后心肌损伤指标、术后并发症、术后射血分数、术后住院时间等指标的差异。结果两组手术时间、术后呼吸机使用时间、术后射血分数、术后住院时间差异无统计学意义。两组术后下肢切口均顺利愈合,无再发急性心肌梗死,无死亡,均痊愈出院。常规组术后1例二次开胸止血;NT组1例术后胸部切口愈合不良,1例术后急性肾损伤经治疗后痊愈。结论不接触技术获取的大隐静脉在冠状动脉旁路移植术中具有良好的早期效果,不增加手术风险。Objective To compare the short-term effect of no-touch technique and routine method for harvesting great saphenous vein in coronary artery bypass grafting. Methods The clinical data of patients receiving the great saphenous vein by no-touch technique （a NT group） or routine method （a routine group） for coronary artery bypass grafting from April 2016 to July 2017 in our hospital were retrospectively analyzed. There were 26 males and 13 females with an average age of 60.1±8.0 years ranging from 40 to 75 years in the routine group, as well as 21 males and 17 females with an average age of 61.3±6.9 years ranging from 38 to 75 years in the NT group. The operation time, postoperative ventilation duration, postoperative myocardial injury index, postoperative complications, postoperative ejection fraction, postoperative hospital stays and other indicators were compared. Results There was no statistical difference between the two groups in operation time, postoperative ventilation time, postoperative ejection fraction or postoperative hospital stays. Incisions of postoperative lower extremity in two groups successfully healed. There was no recurrence of acute myocardial infarction or death. All patients recovered and discharged. One patient was treated with thoracotomy in the routine group. One patient in the NT group had bad healing of chest incision, and one patient with acute kidney injury recovered after treatment. Conclusion The great saphenous vein by no touch technique has a good early effect in coronary artery bypass grafting without increasing the risk of surgery.

关 键 词：冠状动脉旁路移植术 大隐静脉 不接触技术 

分 类 号：R654.2[医药卫生—外科学]