摘要
目的介绍微创内镜切取大隐静脉(MIEVH)在冠状动脉搭桥术(CABG)中应用的方法与临床效果。方法在连续CABG患者中,79例采用传统全程皮肤切口切取大隐静脉,63例采用MIEVH。结果微创术后腿部并发症明显减少,最显著的是切口无感染,下肢的疼痛和水肿明显减轻,切口小美容效果显著,优于传统全程SVG切口(P<0.05)。随访4～13个月(平均8.6个月),搭桥术后效果好。结论MIEVH安全可行,并发症少,美容效果显著,值得推广。
[Objective] To evaluate the outcome of minimally invasive endoscopic saphenous vein harvesting （MIEVH） in coronary artery bypass grafts （CABG） myocardial revascularization and introduce experience in its performance. [Methods] In 142 CABG cases, traditional open vein harvesting was performed in 79 cases and MIEVH in 63 cases. [Results] MIEVH may decrease wound complications and obtain mini-incision. Infection of incision, pain and edema of lower extremity in MIEVH were significantly less than in traditional open vein harvesting （P 〈 0.05）. FoUow-up lasted for 4-13 （mean 8.6） months, good postoperative results for CABG can be achieved. [Conlusions] MIEVH is a safe and efficient technique for CABG. It was associated with fewer wound complications.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第9期951-953,共3页
China Journal of Endoscopy
关键词
内镜
大隐静脉
冠状动脉搭桥术
微创
endoscope
saphenous vein
coronary artery bypass graft
minimally invasive surgery
