血管内超声检查在左主干病变中的应用价值

《血管内超声检查在左主干病变中的应用价值》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号13200HebeiMedicalUniversity硕士学位论文在职科学学位血管内超声检查在左主干病变中的应用价值学位申请人：赵彬导师：徐泽升教授专业：内科学2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医有。否则,承担相应法律责任。研究生签名导师签章河北

2、医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章：/"nwr年^月“？曰目录中文摘要·············································································1英文摘要··········································································

3、···3英文缩写·············································································5研究论文血管内超声检查在左主干病变中的应用价值前言·············································································6资料与方法····································································7结果····························

4、·················································9附表·············································································11讨论·············································································13结论·············································································17

5、参考文献·······································································18综述血管内超声在冠状动脉左主干病变介入治疗中的应用···········21致谢···················································································29个人简历·············································································30中文摘要血管内超

6、声检查在左主干病变中的应用价值摘要目的：通过比较冠脉左主干病变（Leftmaincoronaryarterydisease，LMCA）的血管内超声（Intravascularultrasound，IVUS）和冠脉造影（Coronaryarteriography，CAG）的介入影像结果，探讨血管内超声在冠脉左主干病变诊断中的临床应用价值。方法：本研究选取自2009年5月至2014年7月在河北省沧州市中心医院就诊经冠脉造影检查证实存在左主干病变并进一步行血管内超声检查的病人共151例，并对其进行回顾性分析。这些患者中女性共62名（41.1%），男性共89名（58.9%），平均年龄为6

7、4±16岁。入选标准：1)明确诊断为急性冠脉综合征和稳定型心绞痛的病人；有明显的心绞痛发作情况；急性冠脉综合征的患者包含有：非ST段抬高性心肌梗死的病人和不稳定型心绞痛的病人（指的是1个月内初发者、变异性心绞痛或者恶化劳力型心绞痛的病人）；2）患者为窦性心律。排除标准：1）心律失常患者：室性心动过速、心室颤动的病人等；2）严重的肝功能不全和肾功能不全的病人；3）对含碘类造影剂不能耐受的病人；4）左主干狭窄非常严重，超声导管不能通过狭窄血管的患者；5）既往有冠脉搭桥术或冠脉左主干支