No-Touch技术获取静脉移植血管术后下肢并发症的临床观察  

Clinical observation of lower limb complications after obtaining vein graft by No-Touch technique

作　　者：刘钰[1] 顾建军[1] 张文立[1] 步纪强 孙涌泉 陈子英[1] LIU Yu;GU Jian-jun;ZHANG Wen-li;BU Ji-qiang;SUN Yong-quan;CHEN Zi-ying(Department of Cardiac Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China)

机构地区：[1]河北医科大学第二医院心脏外科,河北石家庄050000

出　　处：《河北医科大学学报》2020年第5期528-531,共4页Journal of Hebei Medical University

基　　金：河北省财政厅政府资助专科能力建设和专科带头人培养项目(361004);河北省医学科学研究重点课题计划(20160105)。

摘　　要：目的总结No-Touch技术获取静脉移植血管的临床经验,并与传统长切口法获取静脉移植血管术后下肢并发症进行比较。方法选取行单纯非体外循环下冠状动脉旁路移植术(coronary artery bypass grafting,CABG)患者201例。使用传统长切口法获取静脉移植血管59例列为对照组,使用No-Touch技术获取静脉移植血管142例列为试验组。比较2组患者术后下肢并发症发生情况。结果试验组疼痛或麻木、水肿或渗液、痂下愈合发生率高于对照组,差异有统计学意义(P<0.05);2组感染或裂开发生率差异无统计学意义(P>0.05)。结论No-Touch技术获取静脉移植血管术后下肢并发症发生率较传统长切口法高。应进一步探讨No-Touch技术获取静脉移植血管术后下肢并发症高的影响因素。Objective To summarize the clinical experience of No-Touch technology to obtain vein grafts,and compare with the traditional long-incision method to obtain lower limb complications after vein grafts.Methods A total of 201 patients who underwent off-pump coronary artery bypass grafting(CABG)were selected.The control group consisted of 59 patients obtain vein grafts by traditional long incision,and the experimental group consisted of 142 patients obtain vein grafts by No-Touch technique.Comparison of postoperative lower limb complications between 2 groups.Results The incidence of pain or numbness,edema or exudation and subeschar healing in the test group was significantly higher than that in the control group(P<0.05).There was no significant difference in the incidence of infection or dehiscence between two groups(P>0.05).Conclusion The incidence of lower limb complications in obtaining vein grafts by No-Touch technique is significantly higher than that by traditional long incision.The related factors with high complications of lower limb after obtaining vein grafts with No-Touch technique should be further explored.

关 键 词：冠状动脉旁路移植术 No-Touch技术 手术后并发症 

分 类 号：R654.3[医药卫生—外科学]