经皮腔内冠状动脉成形术治疗顽固性心绞痛疗效评价  

Effects of percutaneous transluminal coronary angioplasty in refractory unstable angina pectoris

作　　者：刘向儒[1] 黄国金[1] 谭小军[1] 何建文[1] 

机构地区：[1]湖南省郴州市第一人民医院,423000

出　　处：《中国综合临床》2001年第6期414-415,共2页Clinical Medicine of China

摘　　要：目的观察顽固性心绞痛 (RUAP)患者的择期与立即经皮腔内冠状动脉成形术 (PTCA)效果及安全性。方法 2 7例 RUAP患者 ,11例内科药物稳定症状后 PTCA,16例立即 PTCA,观察术后即刻、6个月内症状复发情况和心电图改变。结果手术成功率 10 0 % ,即刻症状缓解率 96 .3% ,病情稳定后择期 PTCA的 6个月内症状复发率 (18.2 % ) ,明显低于立刻 PTCA者的复发率 (37.5 % )。结论对RUAP患者行 PTCA疗效肯定 ,但应尽量在内科治疗待病情平稳后再 PTCA,对不能控制症状者应立即行Objective To evaluate the effects of time selection and immediate percutneous transluminal coronary angioplasty (PTCA) in refractory unstable angina pectoris.Methods PTCA was performed in 27 RUAP patients,among which 16 underwent emergency PTCA and 11 patients experienced PTCA after controlling with medicine.ECG and recurrence of symptoms were observed immediately and 6 months after PTCA.Results The procedural success rate was 100%.The immediate relieving rate was 96.3%.The recurrence rate of 11 cases within 6 months (18.2%)was significantly lower than that of 16 cases(37.5%).Conclustion The PTCA for RUAP is relatively safe and effective,but PTCA should be performed after situation is unchanged by use of medicine and PTCA shoulde be carried out immediately if the symptoms can not be controlled by medicine.

关 键 词：顽固性心绞痛 经皮腔内冠状动脉成形术 PTCA 治疗 疗效 

分 类 号：R541.4[医药卫生—心血管疾病] R654.2[医药卫生—内科学]