摘要
目的:探讨带蒂法和骨骼化法乳内动脉游离在冠心病患者行动脉移植术中的近期疗效。方法:选取我院2015年5月~2016年5月接诊的130例冠心病患者,按照随机数表法,随机均分为观察组和对照组各65例。对照组采取带蒂法乳内动脉游离方法,观察组采取骨骼法乳内动脉游离方法。对两组患者的术中和围术期相关指标,以及术后并发症进行比较分析。结果:手术后,观察组的动脉桥流血量大于对照组,游离乳内动脉时间和手术长于对照组,游离乳内动脉长度长于对照组,两组比较差异有统计学意义。两组患者死亡、心梗和胸骨不愈合的发生率差异无统计学意义,两组患者术后呼吸机辅助时间和重症监护室(ICU)停留时间差异有统计学意义。观察组的术后并发症的发生率均低于对照组,两组比较差异无统计学意义。结论:对冠心病患者行动脉移植术,采取骨骼化游离术能够克服传统的带蒂法游离术的不足,值得临床上应用推广。
Objective To study on the efficacy and take with our skeleton method of internal mammary artery free of vein transplantation in action in patients with coronary heart disease.Methods A total of 130 patients with coronary heart disease admitted to our hospital from May 2015 to May 2016 were studied,according to the random number table method,and the patients were randomly divided into the observation group and the control group of 65 cases.The control group was taken our internal mammary artery free method,and the observation group was treated with bone internal mammary artery dissociation method.The perioperative and perioperative indicators,and postoperative complications of the two groups were compared and analyzed.Results After the surgery,the observation group of artery bleeding than the control group,and operation time and free of internal mammary artery was longer than the control group,and the free internal mammary artery length was longer than the control group,and there was significant difference between two groups.There was no significant difference in the incidence of death,myocardial infarction and sternal nonunion between the two groups,and there was significant difference between the two groups in postoperative ventilator assistance time and ICU retention time.There was no significant difference between the two groups.The incidence of postoperative complications in the observation group was lower than that in the control group,and there was no significant difference between the two groups.Conclusion The action vein transplantation in patients with coronary heart disease,take the skeletal free surgery can overcome shortcomings of traditional with Tifa free operation,and it is worthy of clinical application.
作者
孟佳
郑媛
耿仕发
Meng Jia;Zheng Yuan;Geng Shi-fa(Department of Cardiology,Hongci Hospital,Tangshan City,Tangshan 063000,China)
出处
《湖南师范大学学报（医学版）》
2020年第5期149-151,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
带蒂法乳内动脉游离
骨骼法乳内动脉游离
冠心病
动脉移植术
with our internal mammary artery free
free internal mammary artery with skeletal method
Chd
artery transplantation
作者简介
通讯作者:孟佳,E-mail:mengjiats@163.com
