内镜取大隐静脉与不接触技术应用于冠状动脉旁路移植术近期效果对比

李传威; 程兆云; 王保才; 赵勇; 孙俊杰; 张华坤; 郑道阔; 马露

doi:10.13201/j.issn.1001-1439.2021.03.018

内镜取大隐静脉与不接触技术应用于冠状动脉旁路移植术近期效果对比

- 1. 郑州大学人民医院河南省人民医院心血管外科(郑州, 450003);
- 2. 河南省人民医院心脏中心华中阜外医院
基金项目:
国家自然科学基金(No:31970766)

河南省医学科技攻关计划项目(No:201601011)

详细信息

通讯作者: 程兆云,E-mail:13903712068@163.com

中图分类号: R541.4

收稿日期: 2020-09-16

Short-term outcomes between endoscopic removal of the greater saphenous vein and no-touch technology applied to coronary artery bypass grafting surgery

- 1. Department of Cardiovascular Surgery, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, 450003, China;
- 2. Heart Center, Henan Provincial People's Hospital, Central China Fuwai Hospital

More Information

Corresponding author: CHENG Zhaoyun, E-mail: 13903712068@163.com

Received Date: 16 September 2020

摘要

摘要: 目的:比较内镜取大隐静脉与不接触技术应用于冠状动脉旁路移植术(CABG)近期效果。方法:选取2017年6月—2020年5月因冠心病在我院行CABG的患者77例,按照手术方式分为内镜组(46例)与不接触组(31例)。比较分析两组患者的围手术期资料等情况。结果:内镜组术后切口疼痛、麻木等并发症发生率明显小于不接触组,差异有统计学意义(29.03%∶10.87%,P<0.05)。两组在术后住院时间、呼吸机使用时间及重症监护时间方面均差异无统计学意义。两组均未出现死亡。结论:内镜辅助下获取大隐静脉具有创伤小、术后下肢并发症发生率低等优点,且不增加术后住院时间、呼吸机使用时间和重症监护时间。
- 冠心病 /
- 冠状动脉旁路移植术 /
- 内镜 /
- 不接触技术 /
- 大隐静脉
Abstract: Objective: To compare short-term clinical effects between endoscopic removal of the greater saphenous vein and no-touch technology applied to coronary artery bypass grafting surgery(CABG).Methods: A total of 77 coronary heart disease(CHD) patients scheduled for CABG were given either endoscopic saphenous vein harvesting(EVH Group, n=46) or no-touch greater saphenous vein harvesting(No-touch Group, n=31) from June 2017 to May 2020. The perioperative data including postoperative lower limbs incision complications were comparaed between the two groups.Results: Compared with the No-touch Group, the EVH Group had lower incidence of pain and numbness(29.03%∶10.87%, P<0.05). There was no significant difference in the postoperative hospitalization time, ventilator assist time and ICU stay time between the two groups. No death occurred in either group.Conclusion: Endoscopic greater saphenous vein harvesting can significantly reduce lower limbs incision complications, whereas does not prolong postoperative hospitalization time, postoperative ventilator assist time, and ICU stay time.
- coronary heart diease /
- coronary artery bypass grafting surgery /
- endoscope /
- no-touch technology /
- greater saphenous vein

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