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非体外循环冠状动脉旁路移植术后大隐静脉序贯桥与单支桥中期通畅率的比较
引用本文:王明岩,高长青,王刚,肖苍松,吴扬,叶卫华,赵涛,刘国鹏.非体外循环冠状动脉旁路移植术后大隐静脉序贯桥与单支桥中期通畅率的比较[J].中国胸心血管外科临床杂志,2011,18(5):399-403.
作者姓名:王明岩  高长青  王刚  肖苍松  吴扬  叶卫华  赵涛  刘国鹏
作者单位:中国人民解放军总医院心血管外科,北京,100853
摘    要:目的比较非体外循环冠状动脉旁路移植术(OPCAB)后大隐静脉序贯桥与单支桥的中期通畅率,评价序贯吻合技术在OPCAB的应用效果。方法回顾性分析2005年6月至2009年3月中国人民解放军总医院398例冠心病患者分别采用大隐静脉序贯桥和单支桥行OPCAB的临床资料,其中男301例,女97例;年龄53~82岁(63.6±10.3岁)。患者于术后3个月~5年(19.8±23.6个月)行64层螺旋CT血管造影(64-MSCTA)检查,共有448支大隐静脉桥上的714个远端吻合口接受评估,分别比较血管桥血流、血管桥及吻合口的通畅率,并分析不同位置对吻合口通畅率的影响。结果大隐静脉双支序贯桥(37.11±16.70ml/min vs.25.15±14.24ml/min,P=0.042)和3支序贯桥(37.56±19.58ml/min vs.25.15±14.24ml/min,P=0.048)的近段血流速度均显著高于单支桥。序贯桥总吻合口通畅率高于单支桥(95.1%vs.90.1%,P=0.013)。序贯桥中间吻合口通畅率分别高于序贯桥远端吻合口(97.0%vs.93.1%,P=0.002)和单支桥远端吻合口(97.0%vs.90.1%,P=0.041)。序贯桥远端吻合口通畅率与单支桥比较差异无统计学意义(P=0.253);不同吻合方式下各冠状动脉系统(左前降支系统、右冠状动脉系统和回旋支系统)间差异无统计学意义,序贯桥吻合口在右冠状动脉系统的通畅率高于单支桥吻合口(P=0.008)。结论 OPCAB术后大隐静脉序贯桥的中期通畅率较单支桥更满意,序贯吻合时应尽量选择条件较好的靶血管作为序贯桥的最远端血管,条件较差的血管放在序贯桥的中间

关 键 词:非体外循环冠状动脉旁路移植术  大隐静脉  序贯桥  单支桥  通畅率

Comparison Between Mid-term Patency of Sequential and Individual Saphenous Vein Grafts after Off-pump Coronary Artery Bypass Grafting
WANG Ming-yan,GAO Chang-qing,WANG Gang,XIAO Cang-song,WU Yang,YE Wei-hua,ZHAO Tao,LIU Guo-peng.Comparison Between Mid-term Patency of Sequential and Individual Saphenous Vein Grafts after Off-pump Coronary Artery Bypass Grafting[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2011,18(5):399-403.
Authors:WANG Ming-yan  GAO Chang-qing  WANG Gang  XIAO Cang-song  WU Yang  YE Wei-hua  ZHAO Tao  LIU Guo-peng
Institution:WANG Ming-yan,GAO Chang-qing,WANG Gang,XIAO Cang-song,WU Yang,YE Wei-hua,ZHAO Tao,LIU Guo-peng.(Department of Cardiovascular Surgery,General Hospital of the People's Liberation Army,Beijing 100853,P.R.China)
Abstract:Objective To compare the mid-term patency rates of individual and sequential saphenous vein grafts(SVG) as coronary bypass conduits of off-pump coronary artery bypass grafting(OPCAB) and evaluate the impact of the grafting techniques(individual or sequential grafts) on the graft patency after OPCAB.Methods The clinical data of 398 patients in General Hospital of the People's Liberation Army receiving OPCAB with individual and sequential grafts from June 2005 to March 2009 were retrospectively analyzed.There...
Keywords:Off-pump coronary artery bypass grafting  Saphenous vein  Sequential  Individual  Patency  
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