心脏二次手术前应用冠状动脉影像评估粘连程度的研究

To detect the relation between the computer tomographic angiography image and the severity of adhesion in redo cardiac operation

目的:探讨冠状动脉影像对心脏二次手术粘连程度的评估价值。方法:选取2014年1月至2015年1月,在我院接受治疗的88例心脏二次手术患者作为研究对象,患者二次手术前均接受冠状动脉成像技术(CTA)检测,粘连程度分成紧密组(18例)和疏松组(88例),两组比较分离粘连时间、出血量、并发症发生率及病死率。结果:疏松组患者分离粘连时间、出血量明显少于紧密组,差异有统计学意义(P<0.05);紧密组患者术后并发症发生率及病死率与疏松组比较差异有统计学意义(P<0.05)。

Objective：To detect the relation between the computer tomographic angiography（CTA） im- age and the severity of adhesion in redo cardiac operation. Methods：88 cases of patients accepted redo cardiac operation in our hospital were identified with CTA image before operation as strong adhesion（ n = 18） and mild adhesion group（ n =70）. Compared the adhesion separating time, bleeding volume, complication and mortality of the two group. Results：There were significant statistical difference （P 〈 0. 05 ）lied in the adhesion separating time, bleeding volume, complication and mortality. Conclusion： CTA image could reflect the severity of adhe- sion in the patients of redo cardiac operation.