摘要
冠状动脉旁路移植术(CABG)是冠心病的主要治疗方式之一,能有效增加冠状动脉血流量,改善临床症状。序贯吻合和单支吻合是CABG两种不同桥血管吻合方式,早期大部分研究发现序贯桥较单支桥具有更好的远期通畅率。但早期研究多局限国外临床资料,且以体外循环下实施为主。对于非体外循环下CABG和国内实际情况,缺乏有力的说服力。本文根据最新的研究进展,就序贯和单支吻合的应用及两者临床效果之间的比较进行综述。
Coronary artery bypass grafting(CABG)is one of the main treatment methods for coronary heart disease,which can effectively increase coronary blood flow and improve clinical symptoms.Sequential and individual anastomoses are two different ways of CABG and most of the early studies found that sequential anastomosis has better long-term patency than individual anastomosis.However,most of these studies were based on clinical data and operations mainly performed under on-pump CABG in other countries and their findings are not very convincing considering operations off-pump CABG and the actual situation in China.According to the latest research progress,this paper reviews the application of sequential and individual anastomoses and compares their clinical effects.
作者
李永兴
刘宝堂
侯文明
LI Yong-xing;LIU Bao-tang;HOU Wen-ming(Department of surgery,Weifang Medical College,Weifang 261000,Shandong,China;Department of Cardiovascular Surgery,Affiliated Hospital,Weifang Medical College,Weifang 261000,Shandong,China)
出处
《心脏杂志》
CAS
2020年第5期534-536,542,共4页
Chinese Heart Journal
关键词
冠状动脉旁路移植术
序贯吻合
通畅性
综述
coronary artery bypass graft
sequential anastomoses
patency
review
