No-touch获取大隐静脉桥血管在CABG中的应用及近中期桥血管通畅率观察

doi:10.3969/j.issn.1007-3205.2020.01.006

河北医科大学学报

No-touch获取大隐静脉桥血管在CABG中的应用及近中期桥血管通畅率观察

河北医科大学第二医院心脏外科，河北石家庄 050000

出版日期:2020-01-25 发布日期:2020-02-25
作者简介:安景辉（1980-），男，河北灵寿人，河北医科大学第二医院主治医师，医学硕士，从事心脏外科疾病诊治研究。
基金资助:
河北省医学科学研究课题(20190045)

Evaluation of the application of No-touch obtain the great saphenous vein bridge in CABG and observation of the patency rate in the near and mid-time#br#

Department of Cardiac Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000， China

Online:2020-01-25 Published:2020-02-25

摘要/Abstract

摘要： ［摘要］
目的观察非接触性（即No-touch）获取大隐静脉桥血管在冠状动脉旁路移植术(coronary artery bypass grafting CABG)中的应用效果及近中期血管通畅率。
方法将105例CABG患者随机分为No-touch组65例和常规手术组40例。No-touch组使用No-touch技术获取大隐静脉，常规手术组采用常规切口采集大隐静脉桥血管。比较2组手术效果和近中期桥血管通畅率。
结果 2组均无死亡病例。No-touch组获取大隐静脉时间和手术时间均长于常规手术组（P＜0.05）。2组输注红细胞、输注血浆、术中出血量和再血管化数目差异均无统计学意义（P＞0.05）。2组24 h引流量、24 h血肌钙蛋白、呼吸机辅助通气时间、ICU停留时间、住院费用、引流管保留时间差异均无统计学意义（P＞0.05）。No-touch组双下肢麻木及疼痛发生率高于常规手术组（P＜0.05）。2组双下肢切口血肿、下肢水肿发生率和切口愈合不良发生率差异均无统计学意义（P＞0.05）。No-touch组术后3个月和12个月桥血管通畅率均高于常规手术组（P＜0.05）。
结论在CABG中应用No-touch获取大隐静脉桥血管能降低对静脉桥血管的损伤、延长桥血管通畅率、No-touch方法和常规切开法具有同样的安全性。

关键词: 冠状动脉旁路移植术, No-touch技术, 大隐静脉

Abstract: ［Abstract］Objective〖HTSS〗To evaluate the patency rate and the safety of No-touch great saphenous vein bridge in coronary artery bypass graft.
Methods〖HTSS〗One hundred and five CABG cases were divided into two groups randomly. A total of 65 cases were treated with No-touch technique to obtain the great saphenous vein. 40 cases were bridged with conventional incision. The results of operation and the rate of bridging vessel patency were compared between the two groups.
Results〖HTSS〗There was no death in the two groups. There was no significant difference between two groups(P＞0.05). There was no significant difference between two groups(P＞0.05). The incidence of numbness and pain in both legs of No-touch group was higher than that of conventional operation group(P＜0.05). There was no significant difference in the incidence of hematoma, edema and poor wound healing between two groups(P＞0.05). The patency rate of No-touch group was higher than that of routine operation group(P＜0.05).
Conclusion〖HTSS〗The application of no touch in CABG can reduce the damage to the vein bridge and prolong the patency rate of the bridge. The No-touch method has the same safety as the conventional incision method.

Key words: coronary artery bypass graft, No-touch technology； great saphenous vein

安景辉，刘苏，陈子英，马千里，闫芳，石凤梧*. No-touch获取大隐静脉桥血管在CABG中的应用及近中期桥血管通畅率观察[J]. 河北医科大学学报, doi: 10.3969/j.issn.1007-3205.2020.01.006.

AN Jing-hui， LIU Su， CHEN Zi-ying， MA Qian-li， YAN Fang， SHI Feng-wu*. Evaluation of the application of No-touch obtain the great saphenous vein bridge in CABG and observation of the patency rate in the near and mid-time#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.1007-3205.2020.01.006.

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No-touch获取大隐静脉桥血管在CABG中的应用及近中期桥血管通畅率观察

Evaluation of the application of No-touch obtain the great saphenous vein bridge in CABG and observation of the patency rate in the near and mid-time#br#

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