不接触技术在冠状动脉旁路移植术中应用的随机对照试验  

No-touch technique in coronary artery bypass grafting: A randomized controlled trial

作　　者：周小宇[1,2] 郭炯 黄辰[1] 舒礼良[1] 徐敬[1] ZHOU Xiaoyu;GUO Jiong;HUANG Chen;SHU Liliang;XU Jing(The Third Department of Cardiac Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,P.R.China;Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai,200030,P.R.China)

机构地区：[1]郑州大学第一附属医院心外三科,郑州450000 [2]上海市胸科医院上海交通大学附属胸科医院,上海200030

出　　处：《中国胸心血管外科临床杂志》2018年第10期875-879,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金青年科学基金项目(81700236)

摘　　要：目的对比冠状动脉旁路移植术利用不接触技术和传统技术获取大隐静脉后静脉桥血管的通畅程度。方法选取郑州大学第一附属医院2014年1月至2015年1月行冠状动脉旁路移植术的患者共70例。随机分为常规技术组(传统大隐静脉取材)及不接触技术组(不接触技术取材)。常规技术组34例,其中男16例、女18例,平均年龄(61.6±6.4)岁。不接触技术组36例,其中男16例、女20例,平均年龄(62.2±6.6)岁。结果 70例患者术后1年后均行冠状动脉CT血管造影术(CTA)检查,常规技术组及不接触技术组移植通畅率分别为83/116(71.6%)、113/122(92.6%)。对影响移植物通畅率结果的因素进行logistic分析,显示不接触技术与常规技术差异有统计学意义(P<0.05)。结论不接触技术取材大隐静脉,其短期通畅率较传统方法高。Objective To compare the patency of the postoperative vessel bridge grafts between the no- touch technique and the conventional technique for saphenous vein harvest in the coronary artery bypass grafting. Methods A total of 70 patients underwent coronary artery bypass grafting from January 2014 to January 2015 in the First Affiliated Hospital of Zhengzhou University. They were randomly divided into a conventional technique group （saphenous vein obtained by traditional technique） and a no-touch technique group （saphenous vein obtained by no- touch technique）. There were 34 patients in the conventional technique group, including 16 males and 18 females with an average age of 61.6±6.4 years. There were 36 patients in the no-touch technique group, including 16 males and 20 females with an average age of 62.2±6.6 years. The 1-year postoperative coronary CT angiography （CTA） results were compared. Results Seventy patients underwent coronary CTA examination 1 year postoperatively. The patency rate of the conventional technique group and no-touch technique group were 83/116 （71.6%） and 113/122 （92.6%）. Logistic regression analysis showed a statistical difference between the non-touch technique and the conventional technique （P〈0.05）. Conclusion The short-term patency rate of vessel bridge grafts is higher when the no-touch technique is used.

关 键 词：大隐静脉 冠状动脉旁路移植术 不接触技术 

分 类 号：R654.2[医药卫生—外科学]