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首页> 外文期刊>Journal of cardiac surgery. >Harvesting radial artery and neurologic complications.
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Harvesting radial artery and neurologic complications.

机译：收集radial动脉和神经系统并发症。

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BACKGROUND: Determination of the incidence, mechanisms, and diagnosis of hand complications after radial artery (RA) harvesting in coronary surgery (CABG). METHODS: The study group (RA group) includes 54 patients who underwent RA harvesting in CABG operation. The control group (noRA group) consists of 131 patients who underwent CABG without the use of RA graft. The average follow-up time was 16.36 +/- 5.13 months. The patients were examined clinically, (a) for motor function abnormalities associated with radial and median nerve damage and (b) for sensory abnormalities, and the function of radial nerve was determined by eliciting the brachioradialis reflex. They answered in a formal scripted questionnaire to elicit symptoms and clinical points attributable to nerve damage during RA harvest, such as hand weakness, thumb weakness, sensation abnormalities on the back and on the palm side of the forearm, hand numbness, hand-reversible paresis or forearm infection postoperatively, and any other upper limb abnormality. RESULTS: Of the patients in the RA group, 34.09% reported left-hand abnormality after operation. On the other hand, in the noRA group left-hand abnormality was reported in 18.68% of patients. In the RA group sensation abnormality was reported in 34.09% of patients and thumb weakness alone was reported in 6.82% of patients. There was a statistically significant difference between the two groups. Low EuroSCORE was the predicting factor for motor abnormalities. CONCLUSIONS: More knowledge has been added about the neurologic complications after RA harvesting lately. We demonstrated the rate of motor and sensory abnormality, the potential mechanisms of these complications caused by surgical trauma or devascularization, and any predictive factors of complications. Optimal surgical techniques to avoid the damage of the responsible nerves are recommended.
机译：背景：确定在冠状动脉外科手术（CABG）中radial骨（RA）采集后手部并发症的发生率，机制和诊断。方法：研究组（RA组）包括54例在CABG手术中接受RA收获的患者。对照组（noRA组）由131例不使用RA移植物接受CABG的患者组成。平均随访时间为16.36 +/- 5.13个月。对患者进行了临床检查，（a）与radial神经和正中神经损伤相关的运动功能异常，（b）感觉异常，并通过诱发肱radi肌反射来确定radial神经的功能。他们在一份正式的问卷调查表中进行回答，以得出可归因于RA收割期间神经损伤的症状和临床要点，例如手无力，拇指无力，前臂后侧和手掌侧的感觉异常，手麻木，手可逆性轻瘫或术后前臂感染，以及任何其他上肢异常。结果：RA组患者中，有34.09％的患者报告术后左手异常。另一方面，在noRA组中，有18.68％的患者报告了左手异常。在RA组中，有34.09％的患者感觉异常，仅6.82％的患者仅发生拇指无力。两组之间在统计学上有显着差异。 EuroSCORE偏低是运动异常的预测因素。结论：RA收获后增加了有关神经系统并发症的更多知识。我们证明了运动和感觉异常的发生率，由手术创伤或血运重建引起的这些并发症的潜在机制以及并发症的任何预测因素。建议采用最佳手术技术以避免损伤负责神经。

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