血流储备分数的临床应用进展  

Clinical application progress of fractional flow reserve

作　　者：叶城麟 肖践明[1] YE Cheng-lin;XIAO Jian-ming(The First Affiliated Hospital of Kunming Medical University,Yunnan Province,Kunming 650031,China)

机构地区：[1]昆明医科大学第一附属医院,云南昆明650031

出　　处：《中国当代医药》2018年第26期42-45,共4页China Modern Medicine

摘　　要：现我国冠状动脉粥样硬化性心脏病的发病率逐年攀升,死亡率高,危害严重。随着冠状动脉介入诊疗水平不断发展,冠状动脉内超声(IVUS)、光学相干断层扫描(OCT),血流储备分数(FFR)等检查技术不断涌现,冠状动脉造影术(CAG)已不再作为诊治冠心病的"金标准"。为解决病变的冠状动脉是否会引起真正心肌缺血这一问题,血流储备分数(FFR)指导经皮冠状动脉介入治疗(PCI)行血运重建已成为研究热点,不断被应用于临床实践之中,现对血流储备分数当前临床应用进展做一综述。The morbidity of coronary atherosclerotic heart disease in China is increasing year by year, resulting in high mortality and serious harm. With the continuous development of coronary artery interventional therapy, techniques such as intravascular ultrasound（IVUS）, optical coherence tomography（OCT）, and fractional flow reserve（FFR） emerge.Coronary angiography（CAG） is considered as ＂gold standard＂ for the diagnosis and treatment of coronary heart disease.To address whether the diseased coronary arteries leading to myocardial ischemia, FFR guided percutaneous coronary intervention（PCI） for revascularization has become a research hotspot, which is constantly being applied in clinical practice. The article is going to review the current clinical application of FFR.

关 键 词：冠心病 血流储备分数 冠状动脉造影 冠状动脉内超声 光学相干断层扫描 瞬时无波型比值 血运重建 

分 类 号：R541[医药卫生—心血管疾病]