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各位朋友，大家好，现在是“每天健康三分钟”时间，我是安阳道简医院的医生赵方慧，今天由我来给大家讲讲冠心病支架和搭桥的区别。

心脏支架和心脏搭桥有什么区别。简而言之，一为介入，一为外科手术。心脏支架和心脏搭桥的区别详细介绍如下：

心脏支架手术是最近20年来开展的治疗冠心病的新技术。简单地说，心脏支架手术治疗的过程是穿刺血管，使导管在血管中前行，到达冠状动脉开口处，用特殊的传送系统将支架输送到需要安放的部位，放置、撤出导管，结束手术。

心脏搭桥手术顾名思义，是取病人本身的血管（如下肢的大隐静脉等）或者血管替代品，将狭窄冠状动脉的远端和主动脉连接起来，让血液绕过狭窄的部分，到达缺血的部位，改善心肌血液供应，进而达到缓解心绞痛症状，改善心脏功能，提高患者生活质量及延长寿命的目的。这种手术称为冠状动脉旁路移植术，是在充满动脉血的主动脉根部和缺血心肌之间建立起一条畅通的路径，因此，有人形象地将其称为在心脏上架起了“桥梁”，俗称“搭桥术”。

现在，冠心病是胁迫人类健康的头号杀手，冠心病死亡率占一切心脏病死亡人数的10%~20%。令人欣喜的是，目前国内外医疗冠心病的手法越来越先进，越来越高明，高科技手法让全球众多冠心病患者重获新生。心脏支架手术、心脏搭桥等技术兴盛很快，体外循环技术也有了长足的先进，心脏停跳、心脏不停跳搭桥，以及微创手术已在临床普遍推行，且创伤小，恢复快。

如果心脏不好不能安放支架，又不能搭桥，或者已经安放过支架或搭桥术后的人群，比较适合做体外反搏治疗，体外反搏治疗不仅是一种绿色安全无创的享受式治疗，还可以增加舒张期主动脉内压力，提高心肌血液灌注，改善心肌缺血缺氧，促进侧支循环，提高心功能，减少心绞痛的发作。

最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。

【英文版】

The difference between stent implantation and bypass surgery in the treatment of coronary heart disease

Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Zhao Fanghui, a doctor of Anyang Daojian Hospital.Today, I'd like to tell you the difference between stent implantation and bypass surgery in the treatment of coronary heart disease.

What's the difference between stent implantation and bypass.In short, stent implantation is interventional surgery, and bypass surgery is surgical surgery. The specific differences between stent implantation and bypass are as follows.

Stent implantation is a new technique for the treatment of coronary heart disease in recent 20 years. In short, the principle of cardiac stent surgery is to make the catheter move forward in the blood vessel and reach the opening of coronary artery through vascular puncture, transport the stent to the place where the stent needs to be placed with a special delivery system,then place and take out the catheter, and finally end the operation.

Heart bypass surgery, as the name suggests, refers to the removal of a part of the patient's own blood vessels (such as the great saphenous vein of the lower limbs) or the use of vascular substitutes.to connect the distal end of the stenosed coronary artery with the aorta, so that the blood can bypass the stenosed part and reach the ischemic part, so as to improve the blood supply of the myocardium, so as to relieve the symptoms of angina pectoris, and improve the heart function Objective to improve the quality of life and prolong the life of patients. This kind of operation is called coronary artery bypass grafting, which is to establish a smooth path between the aortic root full of arterial blood and ischemic myocardium. Therefore, some people call it "bridge" on the heart, commonly known as "bypass".

Nowadays, coronary heart disease (CHD) is the number one killer threatening human health.The mortality rate of CHD accounts for 10% ~ 20% of all heart disease deaths. At present, more and more high-tech coronary heart disease patients at home and abroad are rejuvenated.Cardiac stent surgery, cardiac bypass and other technologies have developed rapidly, cardiopulmonary bypass technology has also made considerable progress, in the condition of cardiac arrest or beating heart bypass, minimally invasive surgery has also been widely implemented in clinical, and minimally invasive surgery has less trauma, faster recovery of patients.

If the patient's heart condition is not good, they can't place stent or do bypass, or the one who has placed stent or had bypass surgery in the past, it is more suitable to do external counterpulsation therapy.External counterpulsation therapy is not only a green, safe and noninvasive treatment, but also can increase diastolic intra aortic pressure, improve myocardial blood perfusion, improve myocardial ischemia and hypoxia, promote the establishment of collateral circulation, improve cardiac function, reduce the attack of angina pectoris.

Finally, I wish you all a happy life and good health!To learn more about cardiovascular disease, please pay attention to us. See you next time.