超声刀骨骼化获取双侧乳内动脉在冠状动脉旁路移植术中的应用  

Skeletonized bilateral internal mammary artery harvesting with harmonic scalpel in coronary artery bypass grafting

作　　者：袁炜 吴海波 YUAN Wei;WU Haibo(Department of Cardiac Surgery,The Second Hospital of Dalian Medical University,Dalian,116000,P.R.China)

机构地区：[1]大连医科大学附属第二医院心外科,大连116000

出　　处：《中国胸心血管外科临床杂志》2021年第2期214-218,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的总结超声刀骨骼化获取双侧乳内动脉在冠状动脉旁路移植术中的应用。方法回顾性分析2016年1月至2020年5月我院54例采用双侧骨骼化乳内动脉进行搭桥患者的临床资料,其中男51例、女3例,平均年龄(62.37±9.56)岁。术前心功能分级(NYHA)Ⅱ级51例、Ⅲ级3例。结果54例患者均顺利康复出院,平均搭桥(4.07±0.85)支,手术时间(267.21±47.00)min,术后机械通气时间(342.43±132.17)min,平均住院时间(12.21±4.43)d。结论超声刀骨骼化获取双侧乳内动脉应用于非体外循环下冠状动脉旁路移植术中是安全有效的。Objective To summarize the use of harmonic scalpel to harvest bilateral internal mammary artery in coronary artery bypass grafting(CABG).Methods The clinical data of 54 patients of bilateral skeletonized internal mammary artery harvesting for CABG in our hospital from January 2016 to May 2020 were analyzed retrospectively.There were 51 males and 3 females with a mean age of 62.37±9.56 years.Results All patients went through the procedure unevently and discharged from hospital.The number of grafts was 4.07±0.85 per patient,the operation time was 267.21±47.00 min,mechanical ventilation time was 342.43±132.17 min and hospital stay was 12.21±4.43 d.Conclusion It is safe and effective to use harmonic scalpel to harvest skeletonized bilateral internal mammary artery in CABG.

关 键 词：双侧乳内动脉 冠状动脉旁路移植术 骨骼化 超声刀 手术 

分 类 号：R654.2[医药卫生—外科学]