冠状动脉完全闭塞病变的经皮冠状动脉腔内成形术临床分析  

Clinical analysis of coronary angioplasty in patients of total occlusion

作　　者：吴金家[1] 王忠[1] 吴军 程慧[1] 马建慧[3] 

机构地区：[1]石河子大学医学院第一附属医院内二科,832008 [2]新疆伊宁市兵团农四师医院,835000 [3]石河子大学药学院药理学教研室,832002

出　　处：《农垦医学》2002年第2期83-84,共2页Journal of Nongken Medicine

摘　　要：目的 :观察经皮冠状动脉腔内成形术 (PTCA)在 2 9例冠状动脉完全闭塞病变患者中的应用 ,并探讨影响其成功的因素。方法 :2 9例患者分为二组。急性组 16例 ,为急性心肌梗塞后 <1个月接受PTCA治疗者 ;慢性组 13例 ,为估计冠脉闭塞时间≥ 1个月行PTCA治疗者。分析PTCA的成功率及与冠脉闭塞时间 ,冠脉闭塞局部形态特征的关系。结果 :2 9支闭塞病变经PTCA后 2 2支开通 ,成功率为 75 .9%。急性组成功率为 93.8% (15 /16 ) ;慢性组成功率为 5 3.8% (7/13) ,远低于急性组 (P =0 .0 18)。两组的成功率与冠脉闭塞局部形态特征无关。结论 :PTCA是治疗冠脉闭塞病变的安全、有效的方法 ,影响其成功的因素主要为闭塞时间。Objective:To observe the application of coronary angioplasty (PTCA) in patients of total occlusion, and discuss the factors which lead to it success.Method:29 patients were divide into 2 groups:acute group,16 cases underwent PTCA one month later afrer aute myocardial infarction;chronic group,13 cases underwent PTCA one month later in accordance with possible occluding time calculated. To analyze the relationship between the success rate of PTCA, and the possible occluding time and lesion mophology in PTCA. Result: 22 occluded branch were revascularized in 29 patients with 29 occlusions, the success rate was 75.9%. The success rate was 93.8%(15/16) for acute group, 53.8%(7/13) for chronic group. The lesion morphology did not affect the success rate of PTCA.Conclusion:The PTCA of total occlusions was relaively safe and effective, the occluding time was important factor that resulted in clinical success in PTCA.

关 键 词：冠状动脉完全闭塞 冠状动脉成形术 

分 类 号：R[医药卫生]