冠状动脉旁路移植术大隐静脉分段切开获取与全程切开获取的近期对比
发布时间：2018-08-24 15:24
【摘要】：目的比较冠状动脉旁路移植术中分段切开与全程切开获取大隐静脉近期临床疗效。方法纳入温州医科大学附属第一医院2013年1月至2015年12月行冠状动脉旁路移植术患者资料,进行回顾性研究。据术中大隐静脉获取方式分为2组,全程切开组99例,分段切开组114例。收集2组患者的术前临床资料,并对术中大隐静脉获取时间、获取长度、获取质量及早期临床结果、下肢切口并发症情况进行比较。术后1年应用冠脉CTA检查,比较静脉桥血管通畅率。结果 2组患者临床基础资料无明显统计学差异(P0.05),分段切开组下肢切口并发症发生率较全程切开组低,差异有统计学意义(P0.05)。2组术后1年冠脉CTA检查静脉桥血管通畅率差异无统计学意义(P0.05)。结论分段切开获取大隐静脉技术安全可行,在降低术后下肢切口并发症方面有优势,对术后近期通畅率无明显影响,是临床大隐静脉取材较为经济和微创的方法。
[Abstract]:Objective to compare the short-term clinical effects of segmental incision and complete incision of great saphenous vein in coronary artery bypass grafting (CABG). Methods the data of patients undergoing coronary artery bypass grafting (CABG) from January 2013 to December 2015 in the first affiliated Hospital of Wenzhou Medical University were retrospectively studied. According to the method of obtaining the great saphenous vein, 99 cases in the whole incision group and 114 cases in the segmental incision group were divided into two groups. The preoperative clinical data of the two groups were collected, and the time, length, quality and early clinical results of the great saphenous vein during operation were compared, and the complications of lower extremity incision were compared. 1 year after operation, coronary CTA was used to compare the patency rate of venous grafts. Results there was no significant difference in the clinical basic data between the two groups (P0.05). The incidence of lower limb incision complications in the segmental incision group was lower than that in the whole incision group. The difference was statistically significant (P0.05). 2. 1 year after operation, there was no significant difference in the patency rate of venous grafts in CTA examination of coronary artery (P0.05). Conclusion it is safe and feasible to obtain great saphenous vein by segmental incision. It has advantages in reducing the complications of lower extremity incision and has no obvious effect on the patency rate in the short term. It is an economical and minimally invasive method for clinical use of great saphenous vein.
【作者单位】： 温州医科大学附属第一医院心胸外科;
【基金】：浙江省自然科学基金项目(编号:LY14H020008)
【分类号】：R654.2
本文编号：2201237
[Abstract]:Objective to compare the short-term clinical effects of segmental incision and complete incision of great saphenous vein in coronary artery bypass grafting (CABG). Methods the data of patients undergoing coronary artery bypass grafting (CABG) from January 2013 to December 2015 in the first affiliated Hospital of Wenzhou Medical University were retrospectively studied. According to the method of obtaining the great saphenous vein, 99 cases in the whole incision group and 114 cases in the segmental incision group were divided into two groups. The preoperative clinical data of the two groups were collected, and the time, length, quality and early clinical results of the great saphenous vein during operation were compared, and the complications of lower extremity incision were compared. 1 year after operation, coronary CTA was used to compare the patency rate of venous grafts. Results there was no significant difference in the clinical basic data between the two groups (P0.05). The incidence of lower limb incision complications in the segmental incision group was lower than that in the whole incision group. The difference was statistically significant (P0.05). 2. 1 year after operation, there was no significant difference in the patency rate of venous grafts in CTA examination of coronary artery (P0.05). Conclusion it is safe and feasible to obtain great saphenous vein by segmental incision. It has advantages in reducing the complications of lower extremity incision and has no obvious effect on the patency rate in the short term. It is an economical and minimally invasive method for clinical use of great saphenous vein.
【作者单位】： 温州医科大学附属第一医院心胸外科;
【基金】：浙江省自然科学基金项目(编号:LY14H020008)
【分类号】：R654.2
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1 张瑞广;廖斌;林春玲;;大隐静脉曲张手术疗效比较[J];当代医学;2014年12期
，本文编号：2201237
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