【摘要】 目的介绍微创内镜切取大隐静脉(MIEVH)在冠状动脉搭桥术(CABG)中应用的方法与临床效果。方法在连续CABG患者中,79例采用传统全程皮肤切口切取大隐静脉,63例采用MIEVH。结果微创术后腿部并发症明显减少,最显著的是切口无感染,下肢的疼痛和水肿明显减轻,切口小美容效果显著,优于传统全程SVG切口(P<0.05)。随访4～13个月(平均8.6个月),搭桥术后效果好。结论MIEVH安全可行,并发症少,美容效果显著,值得推广。更多还原

【Abstract】 【Objective】 To evaluate the outcome of minimally invasive endoscopic saphenous vein harvesting(MIEVH) in coronary artery bypass grafts(CABG) myocardial revascularization and introduce experience in its performance.【Methods】 In 142 CABG cases,traditional open vein harvesting was performed in 79 cases and MIEVH in 63 cases.【Results】 MIEVH may decrease wound complications and obtain mini-incision.Infection of incision,pain and edema of lower extremity in MIEVH were significantly less than in traditional open vein harvesting(P <0.05).Follow-up lasted for 4~13(mean 8.6) months,good postoperative results for CABG can be achieved.【Conlusions】 MIEVH is a safe and efficient technique for CABG.It was associated with fewer wound complications.更多还原