腔镜获取大隐静脉在冠状动脉搭桥术中的应用  

Endoscopic vein harvesting in coronary artery bypass grafting

作　　者：徐灿[1] 潘俊[1] 周庆[1] 王东进[1] XU Can;PAN Jun;ZHOU Qing;WANG Dongjin(Department of Thoracic and Cardiovascular Surgery,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院、南京中医药大学鼓楼临床医学院心脏外科,江苏南京210008

出　　处：《中国临床研究》2024年第5期764-766,772,共4页Chinese Journal of Clinical Research

基　　金：国家自然科学基金(82241212,82270346);江苏省医学重点学科(ZDXK202229);南京鼓楼医院新技术发展基金(XJSFZJJ201930)。

摘　　要：目的评价在冠状动脉搭桥术中应用腔镜获取大隐静脉的早期临床效果。方法以2019年6月至2023年10月南京鼓楼医院腔镜获取大隐静脉的262例患者为研究对象,观察患者手术情况及术后切口并发症发生率。结果获取大隐静脉时间为(39.1±9.2)min,长度为(30.8±7.6)cm,取出后肉眼观察大隐静脉管壁无明显损伤。13例患者术后出现皮下淤斑,平均约10 d后能自行吸收痊愈,患者腿部切口疼痛不明显,没有切口感染、裂开、脂肪液化。结论腔镜获取大隐静脉创伤小,能够带来良好的早期临床效果,提高患者的满意度和生活质量。Objective To evaluate the early clinical effect of the application of endoscopy in coronary artery bypass grafting to obtain the great saphenous vein.Methods A total of 262 patients with great saphenous vein obtained by endoscopy in Nanjing Drum Tower Hospital were used to observe the operation status and incidence of postoperative incision complications from June 2019 to October 2023.Results The time to obtain the great saphenous vein was(39.1±9.2)min,and the length was(30.8±7.6)cm.There was no obvious damage to the wall of the great saphenous vein after removal.Subcutaneous ecchymosis occurred in 13 patients,and it could be absorbed and healed by itself after an average of about 10 days.The pain of the leg incision was not obvious,and there was no incision infection,dehiscence or fat liquefaction.Conclusion Obtaining the great saphenous vein through endoscopy with little trauma can bring good early clinical results and improve patient satisfaction and quality of life.

关 键 词：大隐静脉 冠状动脉旁路移植术 腔镜 皮下淤斑 

分 类 号：R654.2[医药卫生—外科学]