被动选择还是主动获取?——谈“No-touch”大隐静脉获取术的产生及研究进展  

Passive Selection or Active Access--the Emergence and Research Progress of“No-touch”Technique for Great Saphenous Vein Graft

作　　者：程悦 孟维鑫[2] 康凯[1] CHENG Yue;MENG Weixin;KANG Kai(Department of Cardiovascular Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang,China;Department of Cardiovascular Surgery,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属第二医院心外科,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第一医院心外科,黑龙江哈尔滨150001

出　　处：《心血管病学进展》2020年第9期934-937,共4页Advances in Cardiovascular Diseases

基　　金：国家自然科学基金(81871501);黑龙江省自然科学基金(H2018021,H2018037);黑龙江省博士后科研启动基金(LBH-Q17094)。

摘　　要：冠状动脉旁路移植术是治疗冠心病和重建心肌灌注的有效方法,但其较低的远期静脉桥血管的通畅率成为影响患者预后的一大难题。大隐静脉作为临床最常用的桥血管,伴随着人们认识的进步,经历了选择-放弃-重生的曲折历程。相较于传统静脉获取方法,"No-touch"技术(即不接触获取技术)最大限度地保护了桥血管内膜及血管外结缔组织,进而改善了大隐静脉桥的远期通畅率,这可能是多种原因共同作用的结果,目前仍需更多的病例随访及更深入的机制探索来给予证实。Coronary artery bypass grafting is an effective method to treat coronary heart disease and reconstruct myocardial perfusion.However,the poor long-term patency rate of vein graft has become a major problem affecting the prognosis of patients.The great saphenous vein,as the most commonly used bridging vessel in clinic,has experienced a tortuous course of choice-abandonment-regeneration with the progress of people,s cognition.Compared to traditional means,the"no-touch"technique properly preserves surrounding tissues and vascular intima of saphenous vein,which in turn convert to a higher long-term patency rate.The improvement may be the result of multiple factors,which still need to be confirmed by more case follow-up and further mechanism exploration.

关 键 词：冠状动脉旁路移植术 “No-touch”技术 桥血管 通畅率 

分 类 号：R541.4[医药卫生—心血管疾病]