微生物感染与冠状动脉桥血管的选择
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The Effects of Chronic Infection of Microorganism on the Choice of Bypass Vessels in CABG
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    目的 探讨微生物感染对冠状动脉桥血管的可能影响。方法 用聚合酶链反应方法检测大隐静脉、内乳动脉、桡动脉组织中肺炎衣原体、幽门螺杆菌和巨细胞病毒。结果 大隐静脉存在血管硬化病理改变为6 9.6 % ,内乳动脉为6 5 .0 % ,桡动脉为73.3% ,差异无显著性(χ2 =0 .397,P =0 .82 )。肺炎衣原体、幽门螺杆菌和巨细胞病毒的阳性率在大隐静脉分别为13.0 %、8.7%和0 .0 % ,内乳动脉分别为2 5 .0 %、35 .0 %和0 .0 % ,桡动脉分别为2 6 .7%、2 3.3%和16 .7%。桡动脉肺炎衣原体、幽门螺杆菌和巨细胞病毒的阳性率高于大隐静脉,χ2 分别为1.4 6、2 .797和4 .2 33(P<0 .0 5 ) ;内乳动脉肺炎衣原体、幽门螺杆菌和巨细胞病毒的阳性率与大隐静脉相比,χ2 分别为1.0 10、4 .4 73和0 .0 0 0 ,内乳动脉幽门螺杆菌的阳性率高于大隐静脉(P<0 .0 5 )。结论 慢性微生物感染影响最小的是大隐静脉,其次为内乳动脉和桡动脉

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    Aim To study the effects of chronic infection of microorganism on bypass vessels. Methods To detect C pneumoniae (CP), H.Pylori (HP), and cytomegalovirus (CMV) in great saphenous vein, internal mammary artery and radial artery by polymerase chain reaction (PCR). Results Venosclerosis rate in great saphenous vein is 69.6%, arteriosclerosis rate in internal mammary artery and radial artery are 65.0% and 73.3%, respectively. They are not different in statistics(χ 2=0.397,P=0.82); positive rates of CP, HP, CMV in great saphenous vein are 13.0%, 8.7% and 0.0%, in internal mammary artery are 25.0%, 35.0% and 0.0%, and in radial artery are 26.7%, 23.3% and 16.7%; positive rates of CP, HP, CMV in radialartery are higher than in great saphenous vein (p<0.05, respectively), HP in internal mammary artery is higher than in great saphenous vein (p<0.05). Conclusions Degrees of arteriosclerosis are not different among great saphenous vein, internal mammary artery and radial, we had beter to choose great saphenous vein in CABG, and then internal mammary artery or radial artery from infection of microorganism.

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田凤石,阳泽斌,熊湘明,王金良,胡大一,赵敏,张 永.微生物感染与冠状动脉桥血管的选择[J].中国动脉硬化杂志,2005,13(1):97~98.

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  • 收稿日期:2004-04-12
  • 最后修改日期:2004-12-01
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