非体外循环冠脉搭桥术26例疗效观察

Therapeutic Effect of 26 Cases of Off-Pump Coronary Artery Bypass Grafting on Beating Heart

目的观察非体外循环下冠脉搭桥术的临床疗效及其安全性。方法 2009年1月—2010年5月共行非体外循环下冠脉搭桥术26例。手术经胸骨正中切口入胸,使用内乳动脉及大隐静脉,利用胸骨牵开器和心脏表面固定器、冠状动脉分流栓等行OPCABG。结果手术全部成功,全组无死亡病例。无围术期心肌梗死、低心排及神经系统并发症。全部患者出院时心绞痛症状消失。结论 OPCAB手术安全可行,近期疗效满意,适宜临床推广使用。

Objective To observe the therapeutic effect and safety of off - pump coronary artery bypass grafting （OPCABG） on the beating heart. Methods Totally 26 patients underwent OPCABG with internal mammary artery and great saphenous vein in the median incision of sternum. All the procedures were carried out with the assistance of sternum retractor , heart stabilizer and coronary artery shunt. Results All operation achieved successful operation. There was no perioperative death. No perioperative myocardial infarction, low cardiac output and neurological complications happened. Angina in all cases disappeared when they discharged from hospital. Conclusion Our experience suggests that OPCAB procedures are feasible and safe for most patients , and suitable for a wider application in clinical practice.