内窥镜采集大隐静脉对微创冠状动脉旁路移植术患者手术切口及生活质量的影响

doi:10.3969/j.issn.1009-976X.2024.02.004

岭南现代临床外科 ›› 2024, Vol. 24 ›› Issue (02): 106-109.DOI: 10.3969/j.issn.1009-976X.2024.02.004

内窥镜采集大隐静脉对微创冠状动脉旁路移植术患者手术切口及生活质量的影响

伍光¹, 马小龙², 柳佳吉², 郎利¹

1.北京市垂杨柳医院心外科,北京 100021;
2.北京安贞医院心外科十病区,北京 100029

通讯作者: 伍光,Email: wgys2005@sina.com

The impact of endoscopic vein harvesting on surgical incision and quality of life in the patients undergoing minimally invasive coronary artery bypass grafting

WU Guang¹, MA Xiao-long², LIU Jia-ji², LANG Li¹

1. Department of Cardiac Surgery, Beijing Chuiyangliu Hospital, Beijing 100021, China;
2. Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

Received:2024-02-03 Online:2024-04-20 Published:2024-07-23
Contact: WU Guang, wgys2005@sina.com

摘要/Abstract

摘要： 目的探讨内窥镜采集大隐静脉（EVH）在微创冠状动脉旁路移植术（MICABG）患者中对下肢手术切口及术后早期生活质量的影响。方法分析2022年1月至12月我院及北京安贞医院单医疗组行微创冠状动脉旁路移植术患者共82例,内窥镜采集大隐静脉组（EVH）36例,开放采集大隐静脉组（OVH）46例。比较两组患者一般情况及术后下肢切口愈合不良、感染等方面的差异;应用SF-36生活质量量表比较两组患者术后早期生活质量的变化。结果 EVH组下肢手术切口愈合不良等并发症较少,在躯体疼痛、总体健康两个维度方面的改善率均优于OVH组（所有P<0.05）。结论对于行微创冠状动脉旁路移植术的患者,内窥镜采集大隐静脉可减少下肢切口相关并发症,并能更好地提高患者术后早期的生活质量。

关键词: 内窥镜, 大隐静脉, 冠状动脉旁路移植术, SF-36生活质量量表

Abstract: Objective To investigate the impact of endoscopic vein harvesting on lower limb incision and early postoperative quality of life in the patients undergoing MICABG. Methods A total of 82 patients in our hospital and the single medical group of Beijing Anzhen Hospital who underwent MICABG from January to September 2022 were collected, including 36 patients receiving EVH,46 patients receiving OVH. The preoperative baseline date and the rate of postoperative leg wound complications were compared between the two groups．The SF-36 was applied to compare the changes in early postoperative quality of life in the two groups. Results The rate of postoperative leg wound complications such as poor incision healing decreased conspicuously in EVH group; in two dimensions of bodily pain and general health change, improvement rate in EVH group excelled to OVH group（P<0.05）. Conclusion In the patients undergoing MICABG, EVH can reduce the rate of postoperative leg wound complications significantly and improve the quality of life in the early postoperative period.

Key words: endoscopic, saphenous vein, coronary artery bypass grafting, SF-36

中图分类号:

R654.3

伍光, 马小龙, 柳佳吉, 郎利. 内窥镜采集大隐静脉对微创冠状动脉旁路移植术患者手术切口及生活质量的影响[J]. 岭南现代临床外科, 2024, 24(02): 106-109.

WU Guang, MA Xiao-long, LIU Jia-ji, LANG Li. The impact of endoscopic vein harvesting on surgical incision and quality of life in the patients undergoing minimally invasive coronary artery bypass grafting[J]. Lingnan Modern Clinics In Surgery, 2024, 24(02): 106-109.

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内窥镜采集大隐静脉对微创冠状动脉旁路移植术患者手术切口及生活质量的影响

The impact of endoscopic vein harvesting on surgical incision and quality of life in the patients undergoing minimally invasive coronary artery bypass grafting

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