糖尿病患者冠脉旁路移植手术中动脉桥的研究现状

doi:10.6040/j.issn.1671-7554.0.2024.0889

摘要/Abstract

摘要： 冠状动脉旁路移植术(coronary artery bypass grafting, CABG)是治疗合并糖尿病(diabetes mellitus, DM)的严重三支冠脉病变的首选方法。动脉桥由于其远期通畅率远高于静脉桥,在CABG手术中的应用越来越多,在DM患者中的使用也日益引起关注。DM对冠脉血管的影响、对拟使用的桥动脉血管质量的影响、DM患者CABG术中多支动脉桥的应用策略和方法、不同动脉桥在DM患者中的通畅率及远期疗效等是目前研究的热点。本文就动脉桥在DM患者CABG手术中的应用及研究现状进行综述,为临床合理选择血管移植物、优化手术方案、改善DM患者CABG术后长期预后提供科学依据与参考。

关键词: 冠状动脉旁路移植术, 糖尿病, 动脉桥, 内乳动脉, 桡动脉, 远期通畅率

Abstract: Coronary artery bypass grafting(CABG)is the preferred method for severe triple-vessel coronary artery disease in patients with diabetes mellitus(DM). Due to the higher long-term patency rate compared to venous grafts, arterial grafts are increasingly used in CABG procedures, and their application in DM patients has garnered increasing attention. Current research focuses on the impact of DM on coronary vessels and the quality of potential arterial graft vessels, strategies and methods for the application of multiple arterial grafts in CABG for DM patients, and the patency rates and long-term outcomes of different arterial grafts in DM patients. This article reviews the application and current research status of arterial grafts in CABG for DM patients, aiming to provide a scientific basis and reference for the rational selection of vascular grafts in clinical practice, the optimization of surgical plans, and the improvement of the long-term prognosis of DM patients after CABG surgery.

Key words: Coronary artery bypass grafting, Diabetes mellitus, Arterial grafts, Internal mammary artery, Radial artery, Long-term patency rate

中图分类号:

R587.1

卢圣勋,邢亚闯,罗俊辉,刘杰,何厚乐,王志强,张娜. 糖尿病患者冠脉旁路移植手术中动脉桥的研究现状[J]. 山东大学学报 (医学版), 2025, 63(5): 33-39.

LU Shengxun, XING Yachuang, LUO Junhui, LIU Jie, HE Houle, WANG Zhiqiang, ZHANG Na. Diabetic patients arterial grafts in coronary artery bypass grafting: current research status[J]. Journal of Shandong University (Health Sciences), 2025, 63(5): 33-39.

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