两种施术方式下冠脉搭桥手术效果的比较  

作　　者：黄志坚 钟卫权 廖金文 

机构地区：[1]衡阳市中心医院心胸外科,湖南衡阳421001

出　　处：《中国中医药咨讯》2011年第17期12-14,共3页

摘　　要：冠脉动脉旁路移植术是治疗冠状动脉硬化性心脏病，特别是多支病变患者的一种非常有效的手段，对延长患者生存时间，提高术后生活质量有肯定的效果。在体外循环下进行冠脉搭桥术被认为是心脏外科进行心肌再血管化的标准手术，但随着对体外循环相关并发症的认识，在非体外循环下实施冠脉搭桥术逐渐受到重视。目前临床上对两种方法的选择存在争议。如何选择最恰当的方法行冠脉搭桥术，既可以使再血管化的效果肯定，又尽可能减少手术给患者带来的风险成为心血管外科研究的热点。本文回顾性的总结两种术式围术期的情况，并加以探讨和初步评价。Coronary artery bypass graft is a medical treatment for coronary heart disease, especially effective for the patients with muhivessel disease. It brings a very positive effect on the extension of survival time and the improvement of life quality after postoperative. Coronary artery bypass graft, a cardiac surgery for revascularization, is considered as a standard surgery under the condition of CPB. However based on the knowledge of CPB-related complications, people attach growing importance to the implement of coronary artery bypass graft in the environment of off-bump. Currently there are clinical controversies between the two curing accesses. So how to choose the most appropriate approach to conduct coronary artery bypass graft, which not only can confirm the effect of revascularization, but can minimize the risks of surgery for patients, becomes a central issue for cardiovascular surgery research. The paper retrospectively summarizes the two kinds of surgical situation during perioerative period, giving further discussion and preliminary evaluation of it.

关 键 词：冠脉搭桥术 手术效果 冠状动脉硬化性心脏病 心肌再血管化 非体外循环 动脉旁路移植术 施术 术后生活质量 

分 类 号：R654.2[医药卫生—外科学]