Arrigoni Sara C, Halbersma Wouter B, Grandjean Jan G, Mariani Massimo A
Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Interact Cardiovasc Thorac Surg. 2012 Mar;14(3):324-6. doi: 10.1093/icvts/ivr091. Epub 2011 Dec 1.
The aim of the study was to establish patients' satisfaction and the incidence of wound-site complications after radial artery (RA) harvesting for bypass surgery. A telephonic quality of life questionnaire was performed in 306 consecutive patients who had undergone coronary artery bypass grafting with the use of RA with the open technique. A psychometric Likert scale was used to define the degree of patients' satisfaction. The questionnaire concerned arm pain, cosmesis and mobility, sensory and neurological complications, and patients' general health state. The median values and the modal scores achieved the maximal value of satisfaction for all site-related complications and the mean scores were >4 out of 5. The median patients' general health state was 4. Cosmetic result of the wound was considered at least acceptable by 98% of patients. The incidence of impairing peripheral neurological complications was 16.7%. The degree of patients' satisfaction after RA harvesting was more than satisfactory and the incidence of wound-site complications was acceptable. The incidence of neurological injuries was lower than previously described.
本研究的目的是确定在采用桡动脉（RA）获取用于搭桥手术之后患者的满意度以及伤口部位并发症的发生率。对连续306例行冠状动脉搭桥术并采用开放技术获取桡动脉的患者进行了电话生活质量问卷调查。使用心理测量的李克特量表来界定患者的满意度程度。问卷涉及手臂疼痛、美观和活动能力、感觉和神经并发症以及患者的总体健康状况。所有与手术部位相关并发症的中位数和众数得分均达到满意度的最大值，且平均得分在5分制中大于4分。患者总体健康状况的中位数为4分。98%的患者认为伤口的美容效果至少可以接受。周围神经损伤并发症的发生率为16.7%。桡动脉获取术后患者的满意度程度超过令人满意的水平，且伤口部位并发症的发生率是可接受的。神经损伤的发生率低于先前描述的情况。
