摘要
目的：探讨非体外循环下冠状动脉旁路移植术（OPCABG）的疗效。方法：回顾性分析766例0PCABG患者的临床资料。结果：766例中Ⅰ支病变40例，Ⅱ支病变109例，Ⅲ支病变617例，其中左主干病变83例，均选择胸部正中切口，每例移植血管1～6支，平均移植血管3．78支；随访1～56个月，631例（82．4%）症状完全消失。127例（16．6％）症状明显减轻，生活质量提高，6例死亡（0．78％），8例（1．04％）术中改常规体外循环冠状动脉旁路移植（CABG）。术后3～12个月2例因血管桥堵塞需要作PTCA。呼吸机使用时间平均（16．35±19．8）h。住院时间（18．2±8）d。结论：非体外循环下冠状动脉旁路移植术是绝大多数病例的首选术式，可以做到完全再血管化，满意的桥血流量，低并发症，操作安全，近期效果好，远期效果有待观察。
Objective： To analysis the effect of the OPCABG operation. Methods： Retrospectively analyzed the data of 766 patients with coronary artery disease （CAD） underwent OPCABG. Among all patients, 40 cases had pathological change in single vessel, 91 cases in 2 vessels, 617 cases in triple vessels, 83 cases in left main coronary artery. Median sternotomy was performed in all patients. One to six grafts were performed for each patient; the mean graft was 3.78 brachs. All patients were followed up for 1 to 56 months. Results： The symptom of 631 （82.4%） patients disappeared. The quality of life and symptom were significantly improved in 16.6% patients. There were six patients （0. 78% ） dead and 8 （1.04%） patients were turned to CABG during the operation procedure. The mean days stayed hospital were （18.2 5=8） d. The mean extubation time of respirator was （16. 355= 19.8） h. Two cases need to do PTCA because of graft occlusion after 3～12 month. Conclusion： OPCABG is a safe and effective method of myocardial revascularization.
出处
《心血管康复医学杂志》
CAS
2006年第4期357-358,共2页
Chinese Journal of Cardiovascular Rehabilitation Medicine
