经左胸小切口多支冠状动脉搭桥与杂交冠状动脉血运重建的对比研究：近中期临床疗效分析

林子博, 裘佳培, 孙延军, 姚皓弋, 任挺, 赵强

Comparative study of minimally invasive multivessel coronary artery bypass grafting and hybrid coronary revascularization: analysis of short-to-medium-term clinical outcomes

LIN Zibo, QIU Jiapei, SUN Yanjun, YAO Haoyi, RENG Ting, ZHAO Qiang

表2 MICS-CABG组与HCR组患者围术期情况比较

Tab 2 Perioperative conditions in the MICS-CABG group and HCR group

Item MICS-CABG group (n=58) HCR group (n=65) t/z/χ2 value P value Operation time/min 270.4±72.5 156.8±31.6 11.72 <0.001 Blood transfusion/n(%) 4 (6.90) 1(1.54) 2.12 0.145 Number of coronary arteries in revascularization/n 2.9±0.6 2.6±0.4 3.21 0.002 Drainage volume within 24 h after operation/mL 320 (220, 450) 200 (100, 160) 4.89 <0.001 Ventilator supporting time after operation/h 8.0 (6.0, 16.5) 6.0 (3.0, 8.0) 3.25 0.001 Hospitalizaion in ICU/d 2.0 (1.0, 2.5) 2.0 (1.0, 2.0) 1.70 0.089 Total hospitalization/d 7 (6, 9) 6 (6, 9) 3.14 0.331 Conversion to sternotomy during operation/n(%) 0 (0) 0 (0) ‒ ‒ Cardiopulmonary bypass during operation/n(%) 0 (0) 0 (0) ‒ ‒ IABP during operation/n(%) 0 (0) 0 (0) ‒ ‒ ECMO during operation/n(%) 0 (0) 0 (0) ‒ ‒ Reoperation/n(%) 0 (0) 1 (1.54) 1.12 0.462 Postoperative complication/n(%) Myocardial infarction 0 (0) 0 (0) ‒ ‒ Cerebrovascular complications 0 (0) 0 (0) ‒ ‒ New-onset atrial fibrillation after operation 6 (1.34) 2 (3.08) 2.74 0.147 Respiratory failure after operation 19 (32.76) 8 (12.31) 7.34 0.007 Reintubation 1 (1.72) 1 (1.54) 1.12 1.000 HFNC 18 (31.03) 7 (10.77) 7.56 0.006 Pulmonary infection 2 (3.45) 1 (1.54) 2.29 0.601 Impaired wound healing 2 (3.45) 1 (1.54) 2.29 0.601 Death 1 (1.72) 1 (1.54) 1.12 1.000