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内窥镜采集大隐静脉联合直视采集桡动脉在冠状动脉旁路移植术中的应用 被引量：1

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摘要 目的总结在冠状动脉旁路移植术（CABG）中应用内窥镜采集大隐静脉（EVH）联合直视采集桡动脉技术的临床经验。方法回顾性分析2006年6月至2009年10月北京军区总医院收治的97例冠心病患者应用EVH联合直视下采集桡动脉技术行CABG的临床资料,其中男68例,女29例;年龄45~84岁（69.3±11.8岁）。行非体外循环冠状动脉旁路移植术（OPCAB）91例,体外循环CABG 6例。观察大隐静脉的采集长度和采集时间。结果每例患者移植血管3~5支（3.7±0.6支）,大隐静脉全部于单侧大腿采集,长度15~29 cm（22.0±6.0 cm）,采集时间29~52 min（32.0±11.0 min）;采集的桡动脉长度16~22 cm（22.0±6.0 cm）,采集时间25~42 min（30.0±9.0 min）。术后死亡3例,死于心肌梗死、恶性心律失常和消化道出血各1例。术后采集大隐静脉的皮肤切口均无感染,出现下肢水肿5例,淋巴漏1例,皮下血肿3例,均自行愈合。随访84例,随访时间6个月至1年,失访10例。随访期间死于脑血管意外1例,生存的患者心绞痛症状均缓解或消失。结论在CABG术中采用EVH联合直视采集桡动脉,减少了大隐静脉的采集长度,缩短了手术时间,有较好的临床应用价值。
作者 王东文 张永 肖志斌 庞中一
机构地区 北京军区总医院心肺血管诊疗中心
出处 《中国胸心血管外科临床杂志》 CAS 2011年第3期260-262,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 冠状动脉旁路移植术 内窥镜 大隐静脉 桡动脉
分类号 R654.2 [医药卫生—外科学]
  • 相关文献

参考文献12

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二级参考文献72

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共引文献5

同被引文献19

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中国胸心血管外科临床杂志
2011年 第3期

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