PTCA及冠脉内支架术治疗不稳定心绞痛  

Application of percutaneous transluminal coronary angioplasty and intracoronary stenting in unstable angina pectoris

作　　者：李科民[1] 吕九华[1] 王步群[1] 陈向民[1] 吴昱[1] 王飞鸣[1] 王乐丰[2] 胡大一[2] 

机构地区：[1]安徽省蚌埠市第一人民医院心内科,233000 [2]北京朝阳医院心脏中心,100000

出　　处：《淮海医药》1999年第2期9-10,共2页Journal of Huaihai Medicine

摘　　要：目的 探讨PTCA及冠脉内支架术治疗不稳定心绞痛的临床疗效、应用价值。方法 对7例经内科常规药物治疗不能缓解的不稳定心绞痛(UAP)行冠脉造影术,5例为双枝或多枝复杂病变,2例为单枝严重狭窄,对“罪犯”血管施行经皮冠脉腔内成形术(PTCA),有残留狭窄而植入冠脉内支架。结果 7例全部成功,术后重复造影“罪犯”血管开通无残留狭窄,随访3—4个月无心绞痛发作,恢复正常生活与工作。结论 PTCA及冠脉内支架术是治疗不稳定心绞痛的安全、有效的方法。Objective To study the therapeutic effect of percutaneous transluminal coronary angioplasty (PTCA) and intracoronary stenting in treatment of unstable angina pectoris (UAP). Methods Seven patients with unstable angina pectoris underwent coronary angiography, five cases had double or triple vascular lesions, two cases, single severe stenosis. PTCA was received by patients and intracoronary stent was implanted. Results Success rate of the PTCA was 100%. None of vasostenosis reappeared and angina did not recur in following 3 to 4 months. Conclusion PTCA and intracoronary stenting is a safe and effective therapy for the patients with UAP.

关 键 词：PTCA 冠脉内支架术 治疗 不稳定心绞痛 冠脉造影术 经皮冠脉腔内成形术 

分 类 号：R654.2[医药卫生—外科学]