我国微创心血管外科进展  

Developments of minimally invasive cardiovascular surgery in China

作　　者：梅举[1] 姜兆磊[1] 王超 MEI Ju;JIANG Zhao-lei;Wang Chao(Department of Cardiothoracic Surgery,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院心胸外科,上海市200092

出　　处：《中国心血管病研究》2025年第4期289-292,共4页Chinese Journal of Cardiovascular Research

基　　金：上海市科委科研计划项目(22QC1401100);上海市创新医疗器械应用示范项目(23SHS02400);上海交通大学“交大之星”计划医工交叉研究基金(YG2022ZD008)。

摘　　要：微创心血管外科(MICS)作为传统开胸心血管手术的重要补充,在过去几十年中取得了很快的进展。本文详细介绍了心脏瓣膜病、心房颤动、冠心病、先天性心脏病、肥厚型梗阻性心肌病及主动脉疾病微创手术(包含介入手术)的技术创新和临床应用。同时,探讨了机器人辅助手术、影像导航技术、3D打印技术及人工智能在MICS中的应用前景。最后,对MICS技术的推广及未来发展进行了探讨,强调了多学科协作和个性化治疗的重要性。Minimally invasive cardiovascular surgery(MICS) has rapidly advanced over the past few decades,serving as a critical complement to traditional open-chest cardiovascular procedures.This article provides a comprehensive overview of technological innovations and clinical applications in minimally invasive(including interventional) surgeries for valvular heart disease,atrial fibrillation,coronary artery disease,congenital heart disease,hypertrophic obstructive cardiomyopathy,and aortic disease.Meanwhile,it explores the future potential of robot-assisted surgery,image-guided navigation,3D printing and artificial intelligence in MICS.Finally,the article discusses strategies for promoting MICS and its future development,emphasizing the importance of multidisciplinary collaboration and personalized treatment.

关 键 词：心血管外科 微创手术 技术创新 经导管主动脉瓣置换术 心房颤动消融术 冠心病 先天性心脏病 肥厚型梗阻性心肌病 主动脉疾病 

分 类 号：R54[医药卫生—心血管疾病]