冠状动脉旁路移植术中应用瞬时血流测定评估桥血管血流量的研究进展  

Transit-Time Flow Measurement in Evaluating the Graft Vessel Blood Flow During Coronary Artery Bypass Grafting

作　　者：赵勇杰 马宪鲁 张培喜[2] ZHAO Yongjie;MA Xianlu;ZHANG Peixi(School of Clinical Medicine,Jining Medical University,Jining 272013,Shandong,China;Cardiovascular Surgery Department of Jining NO.1 People’s Hospital,Jining 272011,Shandong,China)

机构地区：[1]济宁医学院临床医学院,山东济宁272013 [2]济宁市第一人民医院心脏大血管外科,山东济宁272011

出　　处：《心血管病学进展》2024年第12期1075-1078,共4页Advances in Cardiovascular Diseases

基　　金：济宁市重点研发计划(2023YXNS194)。

摘　　要：冠状动脉旁路移植术是外科手术治疗终末期多支冠状动脉狭窄病变的重要方法。术中桥血管是否通畅直接影响患者的手术效果、术后安全及远期生活质量。瞬时血流测定(TTFM)具有易于操作、损伤小等优点常被用来评估术中桥血管的血运成效,判断异常的桥血管血流量,从而进一步反映桥血管通畅性,在一定程度上可提高手术质量,减少远期桥血管闭塞及改善患者预后。现通过对TTFM的临床应用进行详细描述,就冠状动脉旁路移植术中应用TTFM对评估桥血管血流量,进而反映桥血管通畅性的临床研究做一综述。Coronary artery bypass grafting is a pivotal surgical intervention for the management of end-stage multi-vessel coronary artery disease.The intraoperative patency of the graft vessels is critical,as it directly influences the surgical outcome,postoperative safety,and long-term quality of life of the patient.Transit-time flow measurement(TTFM)has emerged as a valuable tool due to its ease of use and minimal invasiveness.TTFM is frequently employed to assess the efficacy of graft vessel perfusion during surgery,enabling the detection of abnormal graft vessel blood flow and providing an indication of graft patency.This,in turn,can enhance surgical quality,reduce the incidence of long-term graft occlusion,and improve patient prognosis.This review offers a comprehensive overview of the clinical application of TTFM in coronary artery bypass grafting,focusing on its utility in evaluating graft vessel blood flow and its implications for graft vessel patency.

关 键 词：冠状动脉旁路移植术 瞬时血流测定 桥血管血流量 桥血管通畅性 

分 类 号：R654.2[医药卫生—外科学]