中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
17期
7-9
,共3页
张云涛%郭立新%夏晓君%李俊青%霍毅中%周松
張雲濤%郭立新%夏曉君%李俊青%霍毅中%週鬆
장운도%곽립신%하효군%리준청%곽의중%주송
冠状动脉旁路移植术,非体外循环%心绞痛%前降支%局限性狭窄
冠狀動脈徬路移植術,非體外循環%心絞痛%前降支%跼限性狹窄
관상동맥방로이식술,비체외순배%심교통%전강지%국한성협착
Coronary artery bypass,off-pump%Angina pectoris%Anterior descending artery%Localized narrow
目的 探讨双血管桥在冠状动脉前降支多处局限性狭窄中的应用与疗效.方法 回顾性分析106例冠状动脉前降支多处局限性狭窄外科治疗患者的临床资料.依手术方法不同分为两组,改良组56例,采用前降支搭双血管桥.对照组50例,采用搭单支血管桥至前降支狭窄段远端.结果 两组年龄、性别构成、体质量指数、左心室射血分数、体外循环时间、气管插管时间、住院时间比较差异无统计学意义(P>0.05).改良组术后发生心绞痛1例、左心室大小为(51±6)mm、左心室射血分数为(60.8±8.0)%,对照组分别为9例、(43±6)mm、(55.1±10.0)%,两组比较差异有统计学意义(P<0.05).结论 双血管桥在冠状动脉前降支多处局限性狭窄中应用安全、有效.
目的 探討雙血管橋在冠狀動脈前降支多處跼限性狹窄中的應用與療效.方法 迴顧性分析106例冠狀動脈前降支多處跼限性狹窄外科治療患者的臨床資料.依手術方法不同分為兩組,改良組56例,採用前降支搭雙血管橋.對照組50例,採用搭單支血管橋至前降支狹窄段遠耑.結果 兩組年齡、性彆構成、體質量指數、左心室射血分數、體外循環時間、氣管插管時間、住院時間比較差異無統計學意義(P>0.05).改良組術後髮生心絞痛1例、左心室大小為(51±6)mm、左心室射血分數為(60.8±8.0)%,對照組分彆為9例、(43±6)mm、(55.1±10.0)%,兩組比較差異有統計學意義(P<0.05).結論 雙血管橋在冠狀動脈前降支多處跼限性狹窄中應用安全、有效.
목적 탐토쌍혈관교재관상동맥전강지다처국한성협착중적응용여료효.방법 회고성분석106례관상동맥전강지다처국한성협착외과치료환자적림상자료.의수술방법불동분위량조,개량조56례,채용전강지탑쌍혈관교.대조조50례,채용탑단지혈관교지전강지협착단원단.결과 량조년령、성별구성、체질량지수、좌심실사혈분수、체외순배시간、기관삽관시간、주원시간비교차이무통계학의의(P>0.05).개량조술후발생심교통1례、좌심실대소위(51±6)mm、좌심실사혈분수위(60.8±8.0)%,대조조분별위9례、(43±6)mm、(55.1±10.0)%,량조비교차이유통계학의의(P<0.05).결론 쌍혈관교재관상동맥전강지다처국한성협착중응용안전、유효.
Objective To explore the double blood vessels bridge application and efficacy in multiple localized narrow of the anterior descending coronary artery.Methods The clinical data of 106 patients with multiple localized narrow of the anterior descending coronary artery were retrospectively analyzed.The patients were divided into two groups according to the operation methods.Fifty-six patients (improvement group) were conducted double blood vessels bridge on the anterior descending coronary artery,50 patients (control group) were conducted a single blood vessel bridge on the anterior descending coronary artery.Results The age,sex,body mass index,left ventricular ejection fraction,extracorporeal circulation time,endotracheal intubation time,length of hospital stay between two groups had no significant difference (P > 0.05).One case in improvement group occurred angina pectoris,left ventricular size was (51 ± 6) mm,left ventricular ejection fraction was (60.8 ± 8.0)%.Nine cases in control group occurred angina pectoris,left ventricular size was(43 ± 6) mm,left ventricular ejection fraction was(55.1 ± 10.0)%.There was significant difference between two groups(P < 0.05).Conclusion Double blood vessels bridge is safe and effective in multiple localized narrow of the anterior descending coronary artery.