静脉桥血管顺行序贯吻合辅助非体外循环冠状动脉旁路移植术治疗冠心病患者的临床疗效

Clinical Efficacy of Antegrade Sequential Anastomosis of Venous Bridging Vessels Assisted by Off-pump Coronary Artery Bypass Grafting in the Treatment of Patients with Coronary Heart Disease

目的研究静脉桥血管顺行序贯吻合辅助非体外循环冠状动脉旁路移植术(OPCABG)治疗冠心病患者的临床疗效。方法选取2017年12月-2018年12月河南省胸科医院冠心病患者92例,随机数字表法分为观察组(n=46)与对照组(n=46)。对照组实施静脉桥血管逆行序贯吻合辅助OPCABG术,观察组实施静脉桥血管顺行序贯吻合辅助OPCABG术。观察对比两组围手术期基本情况及并发症发生率。结果观察组手术操作时间与呼吸机使用时间短于对照组、术中出血量与静脉桥个数少于对照组(均P<0.05);观察组并发症发生率与对照组比较无显著差异(P>0.05)。结论静脉桥血管顺行序贯吻合辅助OPCABG术应用于冠心病患者,可显著缩短术后恢复时间,并发症少,安全性较高。

Objective To study the clinical efficacy of antegrade sequential anastomosis of venous bridging vessels assisted by off-pump coronary artery bypass grafting (OPCABG) for patients with coronary heart disease. Methods 92 patients with coronary heart disease from December 2017 to December 2018 in Henan thoracic hospital were selected and randomly divided into observation group (n=46) and control group (n=46). The control group received retrograde sequential anastomosis of venous bridge vessels assisted OPCABG, while the observation group received anterograde sequential anastomosis of venous bridge vessels assisted OPCABG. Observed and compared the basic situation and complication rate of the two groups during perioperative period. Results The operation time and ventilator usage time in the observation group were shorter than those in the control group, and the intraoperative blood loss and the number of venous bridges were less than those in the control group (all P < 0.05). There was no significant difference in the incidence of complications between the observation group and the control group (P > 0.05). Conclusion Venous bridging vessel antegrade sequential anastomosis assisted OPCABG can significantly shorten postoperative recovery time, with fewer complications and higher safety for patients with coronary heart disease.