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心房颤动是临床中最常见的心律失常之一，外科治疗心房颤动已有近30年的历史。近10年来，微创外科消融手术作为一种创伤小的、治愈率高的治疗手段在治疗心房颤动方面取得了长足的进展。心房线性消融和自主神经节消融的具体手术策略因尚无统一的标准术式而倍受关注；微创外科用于治疗心房颤动，在应用中也暴露了其自身的缺点和不足，也正因如此，近年来一些新的技术方法和创新理念被融入微创外科消融手术中来，并日渐加以改进和完善。相信伴随着手术方式的改良、手术设备的改进以及理念的创新，微创消融手术治疗心房颤动会不断拓展其手术适应证并会被更多的人接受。“,”Surgical treatment of atrial fibrillation has a history of nearly 30 years.For the last decade , minimally invasive surgical ab-lation has made considerable progress as a therapeutic method , bringing with it the advantages of reduced trauma and a high success rate . The surgery is not without problems , and its increased use has further exposed its inadequacies .Existing inadequacies within the surgical process have created new technological advances that are slowly being perfected .These advances combined with the creation of operational standards and improved facilities , will make it possible for minimally invasive surgical ablation to become the standard surgical treatment for atrial fibrillation.