摘要
目的:探讨腔镜辅助下切取大隐静脉在冠状动脉旁路移植术(CABG)患者中应用的可行性、安全性及疗效,并与传统方法取大隐静脉进行比较。方法:我科48例应用大隐静脉CABG的患者中,采用传统方法切取大隐静脉26例(Ⅰ组),腔镜辅助下取大隐静脉22例(Ⅱ组)。比较两组患者一般情况及取大隐静脉时间、所取大隐静脉长度、术后下肢切口疼痛需应用镇痛药、下肢局部麻木、下肢切口愈合不良及下肢切口周围瘀斑等方面的差异。结果:两组患者一般情况无明显差异;两种方法对大隐静脉均无损伤,取材大隐静脉长度无明显区别,Ⅰ组取大隐静脉时间小于Ⅱ组(P<0.05),Ⅱ组术后下肢切口疼痛需应用镇痛药例数、下肢局部麻木例数、下肢切口愈合不良及下肢切口周围瘀斑均小于Ⅰ组(均P<0.05)。结论:腔镜辅助下取大隐静脉是安全可行的,其手术时间相对较长,但其切口美观,创伤小,且能明显减少传统方法的腿部并发症。
Objective：To compare the clinical effects of endoscopic saphenous vein harvesting and conventional saphenous vein harvesting in coronary artery bypass grafting. Method：Forty-eight cases of patients who were un- derwent coronary artery bypass grafting in our hospital were selected and divided into conventional vein harvesting group （Group Ⅰ , n=26） and endoscope vein harvesting group （Group Ⅱ , n=22）. We observed the operation and the incidence of postoperative leg-wound. Result： Two methods had no significant difference in injury and length of saphenous vein. It spent less time in Group Ⅰ than that in Group Ⅱ （P〈0.05）. The number of pa- tients in Group Ⅱ with lower limb numbness, poor incision healing, incision ecchymosis and analgesics needing were lower than those in Group Ⅰ （all P〈0. 05）. Conclusion： Endoscopic saphenous vein harvesting in coronary ar- tery bypass grafting is safe and feasible. It significantly reduces postoperative leg pain and wound complications compare with conventional saphenous vein harvesting in coronary artery bypass grafting.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2015年第2期156-158,共3页
Journal of Clinical Cardiology
关键词
冠状动脉旁路移植
腔镜
大隐静脉
coronary artery bypass grafting
endoscope
saphenous vein
