正中切口与左胸前外侧小切口非体外循环冠状动脉搭桥术的效果及并发症探索  

The effects and complications of off-pump coronary artery bypass grafting with median incision and left anterior lateral thoracic incision

作　　者：吴宏苗 赵诚 WU Hong-miao;ZHAO Cheng(The Friendship Hospital of Urumqi,Urumqi,830049,China)

机构地区：[1]乌鲁木齐友谊医院,乌鲁木齐830049

出　　处：《新疆医学》2021年第11期1262-1264,共3页Xinjiang Medical Journal

基　　金：乌鲁木齐市友谊医院医疗新技术项目(项目编号:SX202029)。

摘　　要：目的比较左胸前外侧小切口与正中切口非体外循环冠状动脉搭桥术治疗的效果及并发症情况。方法回顾性分析2017年1月至2019年12月64例于本院行非体外循环冠状动脉搭桥术患者的临床资料,其中正中切口冠脉搭桥术30例,纳入对照组;左胸前外侧小切口冠脉搭桥术34例,纳入观察组。比较两组围术期指标、并发症及预后情况。结果两组手术时间、术后引流量比较,差异无统计学意义(P>0.05);观察组术后呼吸机辅助时间及住院时间均较对照组短,切口长度较对照组小,差异有统计学意义(P<0.05)。观察组并发症总发生率较对照组低,差异有统计学意义(P<0.05)。随访1年,两组均未进行二次手术,未见心肌梗死、严重心绞痛等发生。结论冠状动脉搭桥术中采用非体外循左胸前外侧小切口,能够有效减轻患者创伤,缩短患者住院时间,降低并发症发生风险,利于预后。Objective To compare the effect and complications of off-pump coronary artery bypass grafting with left anterior lateral thoracic incision and median incision.Methods The clinical data of 64 patients undergoing off-pump coronary artery bypass grafting in our hospital from January 2017 to December 2019 were retrospectively analyzed.Among them,30 patients underwent median incision coronary artery bypass grafting,which were included in the control group.34 cases withcoronary artery bypass grafting were included in the observation group.The perioperative indicators,complications and prognosis between two groups were compared.Results There wereno significant differences in operation time and postoperative drainage between the two groups(P>0.05).The postoperative ventilator assistant time and hospital stay in the observation group were shorter than those in the control group,and the incision length was shorter than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).During one-year follow-up,neither group underwent secondary surgery.No myocardial infarction or severe angina pectoris occurred.Conclusions The use of an extracorporeal small left anterior lateral thoracic incision during coronary artery bypass grafting can effectively reduce the trauma,shorten the hospital stay of patients,reduce the risk of complications,and benefit the prognosis.

关 键 词：正中切口 非体外循环 冠状动脉搭桥术 左胸小切口 效果 并发症 

分 类 号：R472.3[医药卫生—护理学]