经皮冠状动脉内成形术与冠状动脉支架术临床研究.doc

《经皮冠状动脉内成形术与冠状动脉支架术临床研究.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、经皮冠状动脉内成形术与冠状动脉支架术临床研究【关键词】冠心病介入治疗vPstyle二”TEXTJNDENT:24px“>【摘耍】冃的评价冠状动脉内成形术(PTCA)和支架置入术的临床疗效。方法总结1996年II月〜2002年1月行PTCA和支架置入术的冠心病患者226例。结果226例冠心病患者行PTCA并支架置入316枚，置入成功率99.12%,无明显并发症发生。其屮不稳定心绞痛者占45.58%，既往有心肌梗死史者占51.77%。单支病变者占49.56%,双支病变者占32.30%,三支病变者占18.14%,A型病变者占30.97%,B型病变者占25.22%,C型病变者占43.80%。

2、PTCA所用的球囊直径平均为(2.32+0.42)mm,平均长度(19.03±3.99)mm,球囊所加压力平均为(6.23+1.81)atnio共置入支架316枚，其直径平均为(3.05±0.42)mm,平均长度为(18.48±6.42)mm,释放支架时球囊所加压力平均为(9.65±3.08)atmo所用支架主要是BX163枚占51.58%,AVE68枚占21.52%,NIR31枚占9.81%,MAC16枚占5.06%,Joined和其他共占38枚占12.03%。支架置入LAD内131枚占41.46%,RCA内115枚占36.39%,LCX和对角支68枚占21.52%。LM2枚占0.

3、63%。结论PTCA和支架置入术是一•种安全、有效的介入性治疗技术，其成功率高，并发症少。vPstyle=NTEXT-INDENT:24px“>关键词冠状动脉血管成形术支架置入术vPsty!e='TEXT-INDENT:24px"align=centei>Clinicalapplicationofpercutaneoustransluminidcoronaryangioplasty(PTCA)andintracoronarystenting

4、nter>ZhangMingzhe,LiuChuanmu,TianMingkun,etal.TheCentralHospitalofShengliPetroleumAdministrativeBureau,Dongying,Shandong257034.【Abstract]ObjectiveThepurposeofthestudywastoevaluateclinicaloutcomeofPTCAandstentingforpatientswithcor

5、onaryarterydisease.Methods226consecutivepatientswithcoronaryarterydiseaseunderwentPT"CAandstentingfromNov.1996toJAN.2002,theseacuteresultswerereviewed.Results316intracoronarystentswereimplantedduringtheprocedureofPTCAin216patientswithcoronaryarterydisease.Proceduralsuccesswasob~tainedin226pts(9

6、9.12%).Nom勾orcomplicationoccurred.Amongthesecases,45.57%patientswereofunstableangina.51.76%ofpriormyocardialinfarction,49.56%ofsinglevesseldisease,32.30%ofdoublevesseldisease,18.14%oftriplevesseldisease.TypeAlesionaccountedfor30.97%,TypeBfor25.22%andTypeClesionsfor43.80%.Themeanballoondiitmeter

7、andlengthwere2.32±0.42mmand19.03±3.99mmrespectively.Theaverageballoonpressurewas6.23±1.81atm.Themeandiiimeterandlengthofthe316implantedstents(163BXstents,51.58%;68AVEstents,21.52%;31NIRstents,9.81%;16MAC,5.06%;38Jomedandotherstent