摘要
目的：总结老年人行非体外循环下冠状动脉旁路移植术（off-pump coronary artery by-pass grafting，OPCAB）的临床经验和体会。方法：回顾性分析我院2005年10月～2007年10月收治的28例70岁以上老年患者行非体外循环下冠状动脉旁路移植术，手术由同一组外科医生完成，常规冠状动脉腔内放置分流栓，首先吻合乳内动脉与左前降支，再依次对后降支、对角支、钝缘支和右冠状动脉行血运重建。结果：本组无手术死亡，搭1支桥者4例，2支桥者6例，3支桥者12例，4支桥者5例，5支桥者1例，平均搭桥2．8±1．5支。28例患者均康复出院。结论：OPCAB对老年人是安全有效的治疗手段，并能取得良好的早期手术效果，如术后恢复快，并发症少，住院天数短等，但远期效果还有待进一步观察。
Objective： To summarize the clinical experience about off- pump coronary artery bypass grafting in old people. Method： A retrospective analysis was performed in 28 patients who were at least 70 years old. They were hospitalized from October 2005 to October 2007 in our department and were underwent off-pump coronary artery bypass grafting carried out by the same surgery group. Bridging blot was set in the coronary artery intracavity routinely. Arteriae mammaria interna and anterior descending branch were anasto-mosed first and then revascularization were performed in the posterior descending branch, diagonal position branch, obtuse edge branch and right coronary artery. Result：There was no death case in the operations in the group. Of the 28 patients, 4 cases took 1 grafting vessel each, 6 cases took 2 bridge vessels each, 12 cases took 3 grafting vcssels each, 5 cases took 4 grafting vessels each and 1 case took 5 grafting vessels. The average number of grafting vessels were 2.8 - 1.5. All patients were recovered when being discharged from hospital . Conclusion：Off-pump coronary artery bypass grafting is a safe and effective treatment for old people. Its early surgical effect is evident, such as quick rehabilitation after operation, less complications, short hospital length of stay. But the long-term effects still need further research.
出处
《河北医学》
CAS
2008年第5期533-535,共3页
Hebei Medicine
