【摘要】：目的總結(jié)胸骨下段小切口且不橫斷胸骨,施行微創(chuàng)不停跳冠狀動脈旁路移植術(shù)的臨床體會。方法選取2013年5月-2016年6月施行胸骨下段小切口且不橫斷胸骨微創(chuàng)不停跳冠狀動脈旁路移植術(shù)(MIDCAB)共9例(含1例雜交手術(shù))。男8例,女1例;年齡48~91歲,平均(66.8±13.51)歲;均為冠狀動脈粥樣硬化性心臟病(冠心病),其中2例合并冠狀動脈心肌橋,均采用左乳內(nèi)動脈旁路移植于前降支。結(jié)果全組患者無死亡,無并發(fā)癥,術(shù)后均順利出院,隨訪時間為1個月~3年,心絞痛癥狀消失,恢復(fù)正常工作及生活。結(jié)論不橫斷胸骨微創(chuàng)不停跳冠狀動脈旁路移植術(shù)具有切口小、創(chuàng)傷小、圍術(shù)期合并癥少、恢復(fù)快等優(yōu)點,臨床療效可靠。
[Abstract]:Objective to summarize the clinical experience of minimally invasive coronary artery bypass grafting (CABG) with small sternum incision without sternum transection. Methods from May 2013 to June 2016, 9 patients (including 1 case of hybrid operation) underwent mini-sternotomy and non-traverse minimally invasive coronary artery bypass grafting (MIDCAB). Male 8 cases, female 1 case, age 48C 91 years, mean (66.8 鹵13.51) years old. All of them were coronary atherosclerotic heart disease (CHD), 2 of them were complicated with myocardial bridge of coronary artery, all of them were transplanted to anterior descending branch by left internal mammary artery bypass. Results there was no death and no complication. All patients were discharged smoothly. The follow-up time was 1 month ~ 3 years. The symptoms of angina pectoris disappeared and returned to normal work and life. Conclusion Non-traverse minimally invasive coronary artery bypass grafting has the advantages of small incision, less trauma, less complication and quick recovery, and the clinical effect is reliable.
【作者單位】： 延安大學(xué)附屬醫(yī)院心臟血管醫(yī)學(xué)中心;
【分類號】：R654.2

【參考文獻】

相關(guān)期刊論文 前3條

1 張義和;單飛;劉虎;任建立;馬星星;馬小川;;分站式心臟雜交技術(shù)治療高齡冠狀動脈心臟病1例[J];中華胸心血管外科雜志;2014年07期

2 陳鑫;劉培生;;微創(chuàng)冠狀動脈旁路移植術(shù)[J];繼續(xù)醫(yī)學(xué)教育;2006年10期

3 胡盛壽,吳清玉,任杰,王巍,孫曉剛;微創(chuàng)冠狀動脈旁路移植術(shù)[J];中國循環(huán)雜志;1999年02期

【相似文獻】

相關(guān)期刊論文 前5條

1 崔新征;方華;楊鯤鵬;王鐵栓;朱利偉;張清勇;;橫斷胸骨第2肋間小切口與胸骨正中切口行胸腺切除治療重癥肌無力的對比研究[J];中國微創(chuàng)外科雜志;2010年06期

2 陳佶;龐烈文;陳志明;馬勤運;陳剛;黃杰春;;第二肋間橫斷胸骨小切口胸腺切除治療重癥肌無力[J];中華外科雜志;2007年10期

3 孫喜斌,黃正再,單學(xué)健,鄭知海,李光德,胡連才;經(jīng)左胸前外側(cè)橫斷胸骨切口手術(shù)治療縮窄性心包炎33例臨床分析[J];綜合臨床醫(yī)學(xué);1992年01期

4 ;短訊[J];中華醫(yī)學(xué)信息導(dǎo)報;1999年05期

5 ;[J];;年期

，

本文編號：2202196