不同缝合技术在心脏瓣膜置换术中的效果对比(1)
【摘要】 目的：分析比较临床上心脏瓣膜置换手术中采用间断缝合和连续缝合技术的临床疗效。方法：选取笔者所在医院2012年
3月-2013年3月收治的60例主动脉瓣和二尖瓣发生病变患者作为研究对象，按照随机数字表法将其分为对照组和试验组，每组30例。对照组患者接受间断缝合技术置换心脏瓣膜，试验组患者接受连续缝合技术置换心脏瓣膜，观察比较两组患者的心肺转流时间、呼吸机辅助时间、主动脉的阻断时间、住院时间及并发症发生情况。结果：试验组的心肺转流时间、主动脉阻断时间、呼吸机辅助时间及住院时间均明显短于对照组，差异均有统计学意义(P<0.05)；试验组术后并发症发生率为6.67%(2/30)，明显低于对照组的33.33%(10/30)，差异有统计学意义(字2=6.67，P=0.01)。结论：采用连续缝合技术置换心脏瓣膜的临床疗效显著，能够缩短主动脉阻断时间，降低并发症发生率，有效控制心肌缺血，值得临床推广应用。
【关键词】 间断缝合技术； 连续缝合技术； 心脏瓣膜置换术； 临床疗效
中图分类号 R542.5 文献标识码 A 文章编号 1674-6805(2015)8-0006-02
【Abstract】 Objective：To analyze and compare the clinical effects of interrupted suture technique and the continuous suture technique during the surgeries of heart valve replacement.Method：60 patients who suffered from the diseases on aortic valve and the valvula bicuspidal and who accepted treatment in our hospital from March 2012 to March 2013 were selected as the research objects，and they were divided into the control group and the experimental group according to the random number table method，30 cases in each group.The control group received interrupted suture technique for cardiac valve replacement，the experimental group received continuous suture technique replacement heart valve.The cardiopulmonary circulation time，aortic crossclamp time，breathing machine auxiliary time，length of stay and occurrence of complications between the two groups were observed and compared.Result：The cardiopulmonary circulation time，aortic crossclamp time，breathing machine auxiliary time and length of stay in the experimental group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).The occurrence rate of complications in the experimental group after the surgery was 6.67%(2/30)，which was significantly lower than 33.33%(10/30) in the control group，the difference was statistically significant
(字2=6.67，P=0.01).Conclusion：The clinical effect of the surgeries of heart valve replacement with the continuous suture technique is evident，which can shorten the aortic crossclamp time，decrease the occurrence rate of complications，and effectively control the myocardial ischemia.Thus，it is worth promoting further in the clinical applications.
【Key words】 Interrupted suture technique； Continuous suture technique； Surgeries of heart valve replacement； Clinical effects
First-author’s address：Beijing Sixth Hospital，Beijing 100007，China
doi：10.14033/j.cnki.cfmr.2015.08.003
随着近几年微创技术在临床中的广泛应用，心脏瓣膜置换术在心脏外科手术治疗中得到广泛应用，其中，间断缝合和连续缝合技术是心脏瓣膜缝合中较为常用的两种方式。然而，为了研究不同缝合技术在心脏瓣膜置换术中的临床疗效，对笔者所在医院2012年3月-2013年3月实施心脏瓣膜置换术的60例患者采用不同缝合技术的临床疗效进行对比分析，现报告如下。, http://www.100md.com(冯立锋 赵纲)
3月-2013年3月收治的60例主动脉瓣和二尖瓣发生病变患者作为研究对象，按照随机数字表法将其分为对照组和试验组，每组30例。对照组患者接受间断缝合技术置换心脏瓣膜，试验组患者接受连续缝合技术置换心脏瓣膜，观察比较两组患者的心肺转流时间、呼吸机辅助时间、主动脉的阻断时间、住院时间及并发症发生情况。结果：试验组的心肺转流时间、主动脉阻断时间、呼吸机辅助时间及住院时间均明显短于对照组，差异均有统计学意义(P<0.05)；试验组术后并发症发生率为6.67%(2/30)，明显低于对照组的33.33%(10/30)，差异有统计学意义(字2=6.67，P=0.01)。结论：采用连续缝合技术置换心脏瓣膜的临床疗效显著，能够缩短主动脉阻断时间，降低并发症发生率，有效控制心肌缺血，值得临床推广应用。
【关键词】 间断缝合技术； 连续缝合技术； 心脏瓣膜置换术； 临床疗效
中图分类号 R542.5 文献标识码 A 文章编号 1674-6805(2015)8-0006-02
【Abstract】 Objective：To analyze and compare the clinical effects of interrupted suture technique and the continuous suture technique during the surgeries of heart valve replacement.Method：60 patients who suffered from the diseases on aortic valve and the valvula bicuspidal and who accepted treatment in our hospital from March 2012 to March 2013 were selected as the research objects，and they were divided into the control group and the experimental group according to the random number table method，30 cases in each group.The control group received interrupted suture technique for cardiac valve replacement，the experimental group received continuous suture technique replacement heart valve.The cardiopulmonary circulation time，aortic crossclamp time，breathing machine auxiliary time，length of stay and occurrence of complications between the two groups were observed and compared.Result：The cardiopulmonary circulation time，aortic crossclamp time，breathing machine auxiliary time and length of stay in the experimental group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).The occurrence rate of complications in the experimental group after the surgery was 6.67%(2/30)，which was significantly lower than 33.33%(10/30) in the control group，the difference was statistically significant
(字2=6.67，P=0.01).Conclusion：The clinical effect of the surgeries of heart valve replacement with the continuous suture technique is evident，which can shorten the aortic crossclamp time，decrease the occurrence rate of complications，and effectively control the myocardial ischemia.Thus，it is worth promoting further in the clinical applications.
【Key words】 Interrupted suture technique； Continuous suture technique； Surgeries of heart valve replacement； Clinical effects
First-author’s address：Beijing Sixth Hospital，Beijing 100007，China
doi：10.14033/j.cnki.cfmr.2015.08.003
随着近几年微创技术在临床中的广泛应用，心脏瓣膜置换术在心脏外科手术治疗中得到广泛应用，其中，间断缝合和连续缝合技术是心脏瓣膜缝合中较为常用的两种方式。然而，为了研究不同缝合技术在心脏瓣膜置换术中的临床疗效，对笔者所在医院2012年3月-2013年3月实施心脏瓣膜置换术的60例患者采用不同缝合技术的临床疗效进行对比分析，现报告如下。, http://www.100md.com(冯立锋 赵纲)