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Analysis of the outcomes after off-pump versus conventional coronary artery bypass grafting.
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- Author:
- No author available
- Journal Title:
- CHINA MEDICINE
- Issue:
- 11
- DOI:
- 10.3760/cma.j.issn.1673-4777.2007.11.004
- Key Word:
- 冠心病;冠状动脉搭桥术;不停跳搭桥术;体外循环
Abstract： 目的 探讨不停跳搭桥(OPCAB)与传统体外循环下搭桥(CABG)的近期及中期效果.方法 1268例行单纯搭桥手术的患者,其中传统体外循环下搭桥722例,为CABG组;不停跳搭桥546例,为OPCAB组.结果 CABG组围手术期输血量(1194±1405)ml,术后并发症73例(10.1%),死亡23例(3.2%);OPCAB组围手术期输血量(876±1486)ml,术后并发症29例(5.3%),死亡10例(1.8%),2组比较有统计学意义(P＜0.05).CABG组随访441例(61%),平均随访时间(8.3±2.9)月,术后6个月CSS心绞痛分级为(1.4±0.6)级;OPCAB组随访371例(68%),平均随访时间(7.9±3.1)月,术后6个月CSS心绞痛分级为(1.6±0.8)级.2组比较无统计学意义(P＞0.05).结论 OPCAB与传统CABG相比近期对机体损伤小,并发症少,病死率低,术后恢复快;中期效果OPCAB与传统CABG相比,心绞痛改善相似,死亡事件无差异,对生活质量均有改善,差异无统计学意义.
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