| 冠状动脉旁路移植术后乳内动脉桥血管病变相关因素分析 |
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| 引用本文： | 刘志勇,杨东生,章广玲,张希成,田晓丽,邬鹏宇,郭启仓,霍小菊,蒋守芳,高长青.冠状动脉旁路移植术后乳内动脉桥血管病变相关因素分析[J].中国煤炭工业医学杂志,2010,13(9):1261-1265. |
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| 作者姓名： | 刘志勇 杨东生 章广玲 张希成 田晓丽 邬鹏宇 郭启仓 霍小菊 蒋守芳 高长青 |
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| 作者单位： | 华北煤炭医学院附属医院胸心外科;华北煤炭医学院;唐山市截瘫疗养院;中国人民解放军总医院心血管外科全军心脏外科研究所; |
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| 基金项目： | 军队杰出中青年基金资助项目 |
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| 摘 要： | 目的筛选、分析导致冠状动脉旁路移植术（CABG）后的患者左乳内动脉桥血管闭塞的危险因素。方法选取2002年1月—2006年8月在中国人民解放军总医院心血管外科高长青主刀完成的CABG术后患者共228例。通过64-MSCTA的方法判断CABG术后左乳内动脉桥血管通畅情况,收集患者术前、术中信息和术后资料,对可能导致左乳内动脉桥血管病变的危险因素进行单因素分析后,将筛选后的结果通过Logistic多因素回归分析,找出危险因素。结果术前冠脉造影前降支狭窄百分比、术前冠脉造影弥漫性病变;术前血糖;术前甘油三酯;术中检查靶血管直径;LIMA桥血流;同期室壁瘤手术为单因素危险因素,Logistic多因素回归分析,显示LIMA桥病变的危险因素是靶血管的狭窄程度和LIMA桥血流量。结论 LIMA桥通畅率和靶血管狭窄程度、桥血流相关。
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| 关 键 词： | 冠状动脉旁路移植术 乳内动脉桥 血管造影 血管病变 相关因素 |
RISK FACTORS OF VASCULAR LESIONS IN INTERNAL MAMMARY ARTERY BRIDGE AFTER CORONARY ARTERY BYPASS GRAFT |
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| Liu Zhiyong,Yang Dongsheng,Zhang Guangling,et al..RISK FACTORS OF VASCULAR LESIONS IN INTERNAL MAMMARY ARTERY BRIDGE AFTER CORONARY ARTERY BYPASS GRAFT[J].Chinese Journal of Coal Industry Medicine,2010,13(9):1261-1265. |
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| Authors: | Liu Zhiyong Yang Dongsheng Zhang Guangling |
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| Institution: | Liu Zhiyong,Yang Dongsheng,Zhang Guangling,et al.Department of Cardiothoracic Surgery,The Affiliated Hospital of Normal China Coal Medical College,Tangshan 063000,China |
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| Abstract: | Objective To approach the risk factors correlated with left internal mammary artery ( LIMA ) occlusion after coronary artery bypass graft ( CABG ). Methods 228 patients with CABG surgery carried by Prof. Gao Chang-qing in the PLA General Hospital from Jan 2002 to Aug 2006 was included in the study. 64-MSCTA was used to evaluate the lMA grafts lesion post CABG. The risk factors including pre-operation,on-operation and post-operation data were collected and analyzed for the mono-factor analysis,and then sieve... |
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| Keywords: | coronary artery bypass graft internal mammary artery bridge angiography vascular lesion risk factor |
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