【摘要】：半個(gè)多世紀(jì)以來,冠狀動(dòng)脈血運(yùn)重建技術(shù)已大大發(fā)展。自首次應(yīng)用體外循環(huán)下冠脈旁路移植術(shù)對(duì)冠脈多支病變進(jìn)行治療,在此以后,CABG得到了飛速的發(fā)展,不停跳下全胸骨正中切口,縱劈胸骨的CABG;90年代開展的減少患者痛苦的微創(chuàng)小切口CABG以及機(jī)器人輔助下全腔鏡CABG;經(jīng)皮冠狀動(dòng)脈介入技術(shù)(PCI)從上世紀(jì)八十年代至今已發(fā)展到金屬裸支架(BMS)、藥物涂層支架(DES)和可吸收支架,至今技術(shù)已經(jīng)很成熟;1996[1]年Angelini等首次提出了冠狀動(dòng)脈雜交血運(yùn)重建技術(shù)(HCR),此術(shù)式包含CABG及PCI,并將兩者優(yōu)點(diǎn)結(jié)合到一起,以期達(dá)到更加滿意的治療效果。現(xiàn)就雜交冠脈血運(yùn)重建技術(shù)的定義、手術(shù)策略及患者選擇、抗凝策略,現(xiàn)今的問題以及與雜交冠脈雜交技術(shù)密切相關(guān)的MIDCAB及機(jī)器人輔助下CABG的選擇、新進(jìn)展等做一綜述。
[Abstract]:For more than half a century, coronary artery revascularization technology has been greatly developed. Since the first treatment of coronary artery disease with coronary artery bypass grafting under cardiopulmonary bypass (CPB), CABG has developed rapidly, beating CABG; through the median incision of the whole sternum and cutting the sternum longitudinally. Minimally invasive incision CABG and robot-assisted full-endoscopic CABG; developed in the 1990s Percutaneous coronary intervention (PCI) has been developed into metal bare stent (BMS), drug-coated stent (DES) and absorbable stent since 1980s. In 1996 [1], Angelini et al proposed the coronary artery hybrid revascularization technique (HCR),) for the first time, which included CABG and PCI, and combined the advantages of the two techniques in order to achieve a more satisfactory therapeutic effect. In this paper, the definition of hybrid coronary artery revascularization technique, surgical strategy and patient selection, anticoagulant strategy, current problems, selection of MIDCAB and robot-assisted CABG, which are closely related to hybrid coronary artery hybridization, are reviewed.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R654.2

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本文編號(hào)：2356305