应用Harmonic超声刀切取桡动脉的手术体会
摘要
目的分析使用超声刀改进外科微创法切取桡动脉用于冠状动脉旁路移植术的方法。方法使用超声刀采用"不接触"技术切取桡动脉60例,用于冠状动脉旁路移植术。结果60例患者共切取桡动脉63条,全部血流良好并用于冠脉搭桥术,无并发症。结论超声刀具有良好的切割止血作用,切取桡动脉简便、快速、安全,可以明显减少对桡动脉的刺激。
出处
《河北医药》
CAS
2008年第5期640-641,共2页
Hebei Medical Journal
参考文献7
-
1Acar C, Jebara VA, Portoghese M, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg, 1992,54:652-660.
-
2杨俊峰,顾承雄,韦华,王盛宇,陈长城.用于冠状动脉旁路移植术的桡动脉采集方法[J].中华胸心血管外科杂志,2002,18(5):319-320. 被引量:6
-
3陈绪军,张永,冯文会,李大连.桡动脉在全动脉化冠状动脉旁路移植术中的应用[J].中国现代医药杂志,2005,7(3):9-11. 被引量:5
-
4Posacroglu H, Atay Y, Cetindag B, et al. Easy harvesting of radial artery with ultrasonically activated scalpel. Ann Thorac Surg, 1998,65:984-985.
-
5Ranan JW , Perry LA, Barner HB, et al. Radial artery harvest: Comparison of ultrasonic dissection with standard technique. Ann Thorac Surg, 2000, 69: 113-114.
-
6Schmidbaner S, Hallfeldt KK, Sitzmann G, et al. Experience with ultrasound scissors and blades( Ultracision)in open and laparoscopic liver resection. Ann Surg,2002,235:27-30.
-
7Hambley R, Hebda PA, Abdell E, et al. Wound healing of skin incisions produced by ultrasonically vibrating knife, scalpel, electrosurgery and carbon dioxide laser. J Derm Surg Oncol, 1988,14:1213-1217.
二级参考文献13
-
1[1]Muneretto C, Bisleri G, Negri A, et al. Off-pump coronary artery bypass surgery technique for total arterial myocardial revaseularization: a prospective randomized study. Ann Thorac surg, 2003,76:778-782
-
2[2]Desai ND, Cohen EA, Naylor CD, et al. A randomized comparison of radial-artery and saphenous vein coronary bypass grafts. N Engl J Med, 2004,351:2302-2309
-
3[4]Goy JJ, Eeckhout E, Moret C, et al. Five-year outcome in patients with isolated proximal left anterior descending coronary artery stenosis treated by angioplasty or left internal mammary artery grafting. A prospective trial. Circulation, 1999,99:3255-3259
-
4[5]Reyes AT, Frame R, Brodman RF. Technique for harvesting the radial artery as a coronary artery bypass graft. Ann Thorac Surg,1995,59:118-126
-
5[6]Takeuchi K, Sakamoto S, Nagayoshi Y, et al. Reactivity of the human internal thoracic artery to vasodilators in coronary artery bypass grafting. Eur J Cardiothorac Surg, 2004,26:956-959
-
6[7]Chen AH, Nakao T, Brodman RF, et al. Early postoperative angiographic assessment of radial grafts used for coronary artery bypass grafting. J Thorac cardiovasc Surg, 1996,111:1208-1212
-
7[8]Tatoulis J, Buxton BF, Fuller JA. Bilateral radial artery grafts in coronary reconstruction: techniques and early results in 261 patients. Ann Thorac Surg, 1998,66:714-720
-
8[9]Possati G, Gaudino M, Prati F, et al. Long term results of the radial artery used for myocardial revascularization. Circulation, 2003,108:1350-1354
-
9[10].Gaudino M, Luciani N, Nasso G, et al. Is postoperative calcium channel blocker therapy needed in patients with radial artery grafts?J Thorac Cardiovasc Surg, 2005,129:532-532
-
10He GW,Yang CQ.Radial artery has higher receptor mediated contractibility but similar endothelial function compared with mammary artery[].The Annals of Thoracic Surgery.1997
共引文献9
-
1王云,郭德和,马云帆,李晋南.多支动脉桥在冠状动脉搭桥术中的应用[J].宁夏医学杂志,2005,27(3):157-158. 被引量:2
-
2王正清,孔祥荣,刘晓程,王凯,路万里.冠状动脉旁路移植术中内窥镜切取桡动脉效果评价[J].山东医药,2006,46(6):24-25. 被引量:2
-
3陈绪军,肖明第,冯文会,杨碧波,张永,吕志前,李大连.冠状动脉旁路移植术后急性肾功能不全的危险因素分析[J].中华外科杂志,2006,44(22):1532-1534. 被引量:3
-
4和红梅,张晓军,吴和平.桡动脉在全动脉化冠脉搭桥术中的临床应用[J].医学信息(手术学分册),2007,20(12):1086-1088.
-
5何荣海,阎志军,高永谦,赵志勇,于新江,冯光兴.超声刀在冠心病患者外科治疗中的应用[J].中国综合临床,2008,24(9):944-945. 被引量:1
-
6王正清,张建亮,朱宇翔,靖文斌,刘晓程.冠状动脉旁路移植术中间断两切口法切取桡动脉的应用价值[J].中国综合临床,2010,26(8):844-846. 被引量:1
-
7于洋,顾承雄,闫晓蕾,李琴,韦华,刘晓.3703例非体外循环冠状动脉旁路移植术[J].中华胸心血管外科杂志,2010(4):227-231. 被引量:19
-
8郝兴海,万峰,解基严,赵鸿,崔仲奇,宋之明,刘强.内镜血管采集系统与传统切开行桡动脉取材的对比研究[J].中国微创外科杂志,2014,14(8):713-715.
-
9史坤(综述),夏宇(审校).冠状动脉旁路移植术桥血管的选择研究进展[J].海南医学,2022,33(6):790-793. 被引量:3
-
1孙力勇,肖萍,张小化,范西红,庄大勇,郑振华.不接触技术在腹腔镜下结肠癌根治术中的应用[J].山东医药,2005,45(33):43-43.
-
2南琳,才仁,张永久.超声刀在甲状腺腺叶囊内切除术中应用(附351例分析)[J].临床外科杂志,2014,22(12):955-955. 被引量:3
-
3梁家立,张广福,苏丕雄,颜钧,张希涛.桡动脉的采取和临床应用[J].中国综合临床,2002,18(1):72-72.
-
4尤文俊,肖明第,刘沙.不接触冠状动脉旁路移植术在70岁以上病人的应用[J].福建医科大学学报,2005,39(2):214-215. 被引量:2
-
5潘光栋,杨建青.超声切割止血刀与Ligasure在腹部外科开放手术中的应用[J].微创医学,2009,4(5):546-548. 被引量:8
-
6刘海涛,黄犇,张玉展.冠状动脉旁路移植术在冠心病患者中的应用[J].现代实用医学,2008,20(10):807-807.
-
7刘倩,叶京明,刘荫华.应用超声刀行乳腺癌腋窝淋巴结清扫近期疗效观察[J].中国实用外科杂志,2011,31(4):328-330. 被引量:15
-
8石俊俊,纪斌平,赵媛.内固定技术的创始人William Arbuthnot Lane[J].实用骨科杂志,2006,12(5):468-468. 被引量:1
-
9郑民华.论腹腔镜结肠直肠手术[J].外科理论与实践,2004,9(6):453-454. 被引量:31
-
10Akira Tsunoda,Haruki Sada,Takuya Sugimoto,Nobuyasu Kano,Mariko Kawana,Tadanori Sasaki,Hideki Hashimoto.Randomized controlled trial of bipolar diathermy vs ultrasonic scalpel for closed hemorrhoidectomy[J].World Journal of Gastrointestinal Surgery,2011,3(10):147-152. 被引量:6