冠状动脉三维可视化系统在冠心病介入诊疗中的临床应用  

3D visualization system in coronary interventional treatment of coronary heart disease in clinical applications

作　　者：何云[1] 晋军[1] 成小凤[1] 胡建波[1] 何永铭[1] 

机构地区：[1]第三军医大学心血管病研究所,重庆400037

出　　处：《安徽医科大学学报》2014年第6期789-791,共3页Acta Universitatis Medicinalis Anhui

基　　金：保健专项课题(编号:13BJZ33);军队临床高新技术重点项目(编号:2010gxjs071)

摘　　要：目的探讨冠状动脉三维可视化系统(V1.02)在冠心病介入诊疗中的应用效果。方法收集冠状动脉慢性完全闭塞病变(CTO)患者121例,根据是否使用三维可视化系统进行经皮冠状动脉介入治疗(PCI)分组,60例为对照组,单独采用冠状动脉介入影像定量分析系统辅助PCI。61例为观察组,结合三维可视化系统(V1.02)辅助PCI。分析比较两组患者介入术成功率,严重并发症发生情况和对医患X线辐射暴露时间的影响。结果观察组和对照组介入成功率分别为88.5%(54/61)和73.3%(44/60),差异有统计学意义(P<0.05);介入并发症发生率分别为3.3%(2/61)和16.7%(10/60),差异有统计学意义(P<0.05);手术时间分别为(75.9±9.2)min和(101.5±15.8)min,差异有统计学意义(P<0.01)。结论三维可视化系统(V1.02)应用于CTO介入诊疗中,可以明显提高手术成功率,减少冠状动脉痉挛、血管夹层及血管穿孔破裂等并发症,缩短医患X线辐射暴露时间,值得在临床上进一步推广。Objective To investigate the three-dimensional visualization of coronary system （ V1 . 02 ） in coronary intervention in the application results. Methods 121 total occlusion （ CTO） patients were selected, depending on whether the use of three-dimensional visualization system undergoing percutaneous coronary intervention （ PCI ） group. 60 cases of the control group used a single coronary intervention quantitative image analysis system for sec-ondary PCI. 61 cases of the observation group, combined with 3D visualization system （V1. 02） assisted PCI. A-nalysis and comparison of the two groups were involved in the success rate of the doctor-patient cases and X-ray ra-diation exposure effects serious complications. Results Observation group and the control group were involved in the success rate of 88. 5% （54/61） and 73. 3% （44/60）, the difference was statistically significant （P〈0. 05）. Interventional complication rate was 3. 3% （2/61） and 16. 7%（10/60） respectively, the difference was statisti-cally significant （P〈0. 05）. Surgical time was （75. 9 ± 9. 2） min and （101. 5 ± 15. 8） min, the difference was statistically significant （ P 〈0. 01 ） . Conclusion 3 D visualization system （ V1 . 02 ） used in the diagnosis and treatment CTO intervention can significantly improve the success rate of the hand, reducing coronary artery spasm, vascular dissection and rupture of vascular complications such as perforation, shortening the doctor-patient X-ray ra-diation exposure time, worthy of clinical further promotion.

关 键 词：冠状动脉 三维可视化系统 介入诊疗 

分 类 号：R543.3[医药卫生—心血管疾病]