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首页> 外文期刊>Journal of cardiac surgery. >Is it necessary to use a drain after harvesting radial artery? A randomized prospective study.
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Is it necessary to use a drain after harvesting radial artery? A randomized prospective study.

机译：radial动脉采集后是否需要使用引流管？一项随机前瞻性研究。

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Background: Radial artery (RA) is a second choice after internal thoracic artery in coronary artery bypass operations. There are some complications in forearm after harvesting RA. We have prospectively compared the necessity of inserting drain in the forearm cavity after RA harvesting to prevent such complications. Methods: Eighty consecutive patients (younger than 65 years old, left ventricle ejection fraction >40%) undergoing coronary artery bypass operations were prospectively enrolled into study. Patients were divided into two groups by using, Table of Random Digit, for randomization. In group I patients (n = 40), we inserted drain during the forearm closing and in group II patients (n = 40), we did not use any drain. Patients in both groups evaluated for wound site complications such as hematoma, errythema, vascular complications, motor deficit, paresthesia, hand edema, and infection. Results: We found two hand edemas, one hematoma, five paresthesias, one infection, and three ecchymosis in Group Ipatients and one hematoma, four paresthesias, one infection, and four ecchymosis in Group II patients. There was no statistically significant difference between the groups in complications. Conclusion: Placing of a drain into the forearm has not significant advantages but the cost and the complaints of patients could be reduced by not using the drain.
机译：背景：在冠状动脉搭桥手术中，Rad动脉（RA）是仅次于胸内动脉的第二选择。收获RA后前臂有一些并发症。我们前瞻性地比较了RA收获后在前臂腔中插入引流的必要性，以防止此类并发症。方法：前瞻性纳入了80例接受冠状动脉搭桥手术的连续患者（年龄小于65岁，左心室射血分数> 40％）。使用随机数字表将患者分为两组。在第一组患者（n = 40）中，我们在前臂闭合期间插入了引流管;在第二组患者（n = 40）中，我们未使用任何引流管。两组患者均评估了伤口部位的并发症，例如血肿，回肠，血管并发症，运动障碍，感觉异常，手部浮肿和感染。结果：在第一组患者中发现了两只手部水肿，一处血肿，五处感觉异常，一处感染和三处瘀斑，在第二组患者中发现了一处血肿，四处感觉异常，一处感染和四处瘀斑。两组之间在并发症方面没有统计学上的显着差异。结论：将引流管置入前臂没有明显优势，但不使用引流管可降低成本并减少患者的不适感。

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