实用医学杂志2017，Vol.33Issue(18)：3067-3069,3.DOI:10.3969/j.issn.1006-5725.2017.18.022
冠状动脉旁路移植术大隐静脉分段切开获取与全程切开获取的近期对比
Comparative study of vein graft patency between segmental incision and open saphenous vein harvesting in coronary artery bypass grafting
摘要
Abstract
Objective To compare vein graft quality and patency between the segmental incision and the open saphenous vein harvesting in coronary artery bypass grafting. Methods The data of patients underwent CABG in the First Affiliated Hospital of Wenzhou Medical University from January 2013 to December 2015 were retrospectively analyzed. The patients were devided into 2 groups,which is 99 open and 114 sagmental incision,by the way of harvesting. The operative risk factors,harvesting time and length of venous grafts,as well as the inci-sion complications were compared between the above two groups. One year after operation,the vein graft patency was detected by the coronary artery CTA. Results No significant differences in the risk factors of incision compli-cations were observed between the two groups,but the incidence of various incision complications was significantly reduced in the segmental incision group(P < 0.05). No significant difference in patency rate of venous grafts was observed between two groups at 1 years post?operation. Conclusion Segmental incision saphenous vein harvesting was safe and feasible,which can decrease the incision complications without obvious effect on postoperative patency.关键词
冠状动脉旁路移植术/大隐静脉/静脉桥血管通畅率Key words
coronary artery bypass grafting/ great saphenous vein/ graft patenc引用本文复制引用
黄伟聪,陆地,王珏,程德志,孙成超..冠状动脉旁路移植术大隐静脉分段切开获取与全程切开获取的近期对比[J].实用医学杂志,2017,33(18):3067-3069,3.基金项目
浙江省自然科学基金项目(编号:LY14H020008) （编号:LY14H020008）
