摘要
目的比较左胸前外侧小切口与正中切口冠状动脉搭桥术的临床效果。方法选取沧州市中心医院2011年1月-2014年6月收治的冠状动脉支架术后再狭窄或前降支开口病变患者112例,采用数字随机法分为左胸切口组68例和正中切口组44例两组,左胸切口组患者采取经左胸微创小切口实施非体外循环左乳内动脉前降支搭桥术,正中切口组患者行非体外循环左乳内动脉前降支搭桥术,比较两组患者的手术效果及术后生活质量、并发症情况。结果左胸小切口组患者的手术时间、切口长度、呼吸机辅助通气时间及住院天数均明显优于正中切口组（均P〈0.05）,其术后并发症发生率为2.94%（2/68例）,而正中切口组为25%（11/44例）,组间差异有统计学意义（P〈0.05）。两组患者术后1、3、6个月随访未见心绞痛并发症,术后左胸小切口组中37例及正中切口组中28例行心脏血管造影检查示血管桥通畅,左胸切口组患者的术后生活质量明显优于正中切口组,组间差异有统计学意义（P〈0.05）。结论左胸微创小切口应用于非体外循环冠状动脉搭桥术治疗能够缩短手术时间和呼吸机辅助通气时间,促进术后康复,提高生活质量,安全可行,可在临床推广应用。
Objective To compare the clinical effect of small incision and coronary artery bypass grafting in the left anterior chest.Methods 112 patients with coronary artery stenosis or anterior descending coronary artery stenting were selected.68 patients with coronary heart disease were selected from patients with coronary heart disease and left anterior descending coronary artery bypass grafting.44 patients were compared with two groups of patients.Results The operation time,incision length,ventilation time and length of hospital stay were significantly better than those in control group（P〈0.05）.The incidence of postoperative complications was 2.94%（2/68）,and the median incision group was 25%（11/44）,the difference was statistically significant（P〈0.05）.There were 37 patients in the small incision group and 28 patients with median incision group.Conclusion Minimally invasive surgery for the treatment of non extracorporeal circulation coronary artery bypass grafting can shorten the operation time and ventilator assisted ventilation time,promote postoperative recovery,improve the quality of life,safe and feasible,and it is worthy of clinical application.
出处
《西部医学》
2016年第3期399-402,共4页
Medical Journal of West China
基金
沧州市科学技术研究基金(141302023)
关键词
左胸外侧小切口
正中切口
冠状动脉
搭桥术
Small incision in the left breast
Median incision
Coronary artery bypass grafting
