冠心病的外科治疗

Operative Treatment of Coronary Artery Disease

首例成功的冠状动脉旁路移植术(CABG)手术完成于1960年,随着体外循环技术的成熟,CABG手术得以不断发展。20世纪90年代,以非体外循环下冠脉旁路移植术(OPCAB)为代表的微创冠脉搭桥手术逐渐应用于临床,并取得满意的临床效果。尽管冠脉介入技术(PCI)以其创伤小的优点在冠心病的治疗方面蓬勃发展,但是CABG在远期通畅性方面仍然占据优势地位,因此CABG仍然是冠心病治疗的效果确定的一种方法。

The first successful coronary artery bypass graft （CABG） was performed in 1960. With the maturation of the technology of extracorporeal circulation, CABG surgery had been developing continuously. In the 1990s, as a representative of minimally invasive coronary artery surgery, the off pump coronary artery bypass （OPCAB） was gradually applied clinically and obtained satisfactory clinical effects. Although the smaller trauma is an advantage of percutaneous coronary intervention （PCI） applied in the treatment of coronary artery disease, CABG still has superior long-term patency rate than other kinds of operations. Therefore, CABG remains an effective method to cure coronary artery disease.