经皮冠脉腔内成形术治疗不稳定心绞痛24例研究  

Clinical study on percutaneous transluminal coronary angioplasty in 24 patients with unstable angina

作　　者：李科民[1] 吕九华[1] 王步群[1] 王飞鸣[1] 陈向民[1] 孙红军[1] 

机构地区：[1]安徽省蚌埠市第一人民医院心内科,233000

出　　处：《淮海医药》2001年第2期89-91,共3页Journal of Huaihai Medicine

摘　　要：目的　探讨经皮冠脉腔内成形术 (PTCA)及冠脉内支架术治疗不稳定心绞痛 (UAP)的临床应用价值。方法　对药物治疗疗效欠佳的不稳定心绞痛患者行冠脉造影术 ,单支血管病变行 PTCA术并置入支架 ,双支或三支血管病变先判断“罪犯”病变血管 ,根据病情扩张包括“罪犯”病变血管在内的主要病变血管 ,可同期手术扩张双支血管或分期手术。结果　 11例单支血管病变全部成功扩张后植入支架 11枚 ,双支或三支血管病变中 ,3例患者首期仅扩张了“罪犯”血管 ,均接受了二期手术 ,5例患者同期手术扩张双支病变血管 ,5例患者仅扩张了“罪犯”血管 ,PTCA成功率为 96 .8% ,置入支架 30枚 ,成功率 10 0 % ,术后血管前向血流全部 Ti Mi 3级。结论　 PTCA及冠脉内支架术治疗 UAP疗效确切 ,安全系数大 ,多支血管病变即使行不完全血运重建亦能显著缓解症状 ,减少病死率 ,提高生活质量 ,值得在基层医院推广。Objective To evaluate the efficiency of percutaneous transluminal coronary angioplasty(PTCA)and intracoronary stenting in treatment of unstable angina pectoris(UAP).Methods Coronary angiography were performed in 24 patients with UAP.Results Eleven patients had one vessel lesions,intracoronary stenting was implanted after PTCA,3 had two or three vessel lesions,only dilate “culprit lesions”in first PTCA and other lesion was dilated in second PTCA after 2 weeks,5 patients only dilated “culprit lesions”.PTCA success rate was 96.8%,30 stenting were implanted and success rate was 100%.Conclusion PTCA and intracoronary stenting is a safe and effective therapy for the patients with UAP.

关 键 词：不稳定型心绞痛 血管成形术 经皮冠状动脉腔内成形术 PTCA UAP 

分 类 号：R654.2[医药卫生—外科学]