目的:报告6例胸部小切口微创冠状动脉搭桥术的体会.方法:自2001年2月至2002年5月对6例冠状动脉前降支阻塞在75%的冠状动脉粥样硬化性心脏病(冠心病)患者,采用特殊胸壁撑开器游离乳内动脉并与前降支作吻合,行胸部小切口微创冠状动脉搭桥术.结果:6例患者全部治愈出院,平均手术时间2.5h,平均住院时间9d.结论:胸部小切口微创冠状动脉搭桥术在处理前降支单支病变上有着明显的技术优势,可以与经皮冠状动脉成形术媲美.

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