直接冠状动脉内支架术治疗冠心病的临床研究  

Clinical Observation of Primary Intracoronary Stent

作　　者：唐玉龙[1] 孟锐[1] 邢福艳[1] 黎辉[1] 

机构地区：[1]大庆油田总医院心脏中心,黑龙江大庆163001

出　　处：《中国伤残医学》2008年第5期25-27,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨直接冠状动脉内支架术治疗冠心病(CHD)疗效。方法:对121例CHD置入冠脉内支架的连续观察病例进行分析。结果:121例CHD患者中,梗塞相关血管为左前降支72例,左回旋支17例,右冠状动脉32例。共置入3种支架合计121个。术后残余狭窄程度由术前78.3%±6.7%降至术后2.45%±5.96%。手术成功率98.34%。结论:在所选择的患者中,直接冠状动脉内支架治疗是有效的,早期效果好而且可降低再梗塞发生率,并明显减少再次的靶血管血运重建。Objective ： To evaluate the efficiency of primary intracoronary stenting in coronary hear disease （CHD） patients. Methods： Twenty-one patients who undergone successful intracoronary stenting were analyzed. Results ：Among these patients , there were 98 males and 23 females, age 43 to 65 years with an average of 58. 5. Infact-related arteries （IRA） were LAD in 72 patients,LCX in 17 and RCA in 32. One hundred and twenty-one stents of 3 kind were implanted. Residual stenosis deceased from （78. 3 ±6. 7%） to （2. 45± 5. 96%）. Success rate of the procedure was 98. 34%. Conclusion： Primary intracoronary stenting might be an efficient therapeutic procedure which could reduce the occurrence of CHD and revascularization of the IRA.

关 键 词：直接冠状动脉内支架术 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]