微创伤切取大隐静脉方法在冠状动脉搭桥术中的应用

Usage of Video-assisted Minimal-invasive Great Saphenous Vein Harvest in CABG

目的 探讨腔镜辅助的微创伤方法切取大隐静脉在冠状动脉搭桥术 (CABG)病人应用的可行性、安全性及能否减少腿部的并发症。 方法 2 9例应用大隐静脉CABG的病人中 ,采用传统方法切取大隐静脉 16例 ,腔镜辅助的微创伤方法取材大隐静脉 13例 ,比较两种方法在手术时间、所取大隐静脉的长度、有无损伤及术后腿部并发症等方面的差异。 结果 两种方法对大隐静脉均无损伤 ,在单位时间取材大隐静脉长度无明显区别 ,但微创伤方法术后腿部并发症明显减少 (P <0 .0 5 ) ,从 2 5 %降至 7.6%。 结论 采用腔镜辅助的微创伤方法切取大隐静脉是安全可行的 。

Objective To determine if video assisted minimal invasive great sphenous vein harvest was possible, safe and associated with less post operative leg wound infection and decreased morbidity. Method In 29 CABG patients, video assisted minimal invasive great saphenous vein harvest was done in 13 cases and traditional method was performed in 16 cases from March 2000 to June 2001. The length of the harvesting great saphemons vein and the operating duration, the rate of postoperative leg wound complicatons were compared between the two groups. Results Both the methods did not do harm to the harvesting great saphenous veins. And there was no difference of the operating duration per length of the vein between the two groups. However, the leg wound complication rate decreased conspicuously in the video assisted group. Conclusion Compared with the traditional method, the video assisted minimal invasive great saphenous vein harvest is safe and possible in CABG cases, and it would decrease the complication rate of the leg wound obviously.