拘禁球囊技术在介入治疗分叉病变边支血管保护中的即刻及近期效果研究  

The immediate and recent effect of the confinement of balloon technique in the protection of the collateral vessels in the interventional treatment of bifurcated lesions

作　　者：段文涛[1] 张峰[1] 史东[1] DUAN Wen-tao;ZHANG Feng;SHI Dong(Four Families in Taida International Cardiovascular Disease Hospital,Tianjin 300450,China)

机构地区：[1]泰达国际心血管病医院内四科,天津300450

出　　处：《泰山医学院学报》2018年第2期172-174,共3页Journal of Taishan Medical College

摘　　要：目的分析比较拘禁球囊技术与传统的边支保护技术在介入治疗真性分叉病变中对边支血管保护的即刻及近期效果。方法选取我院2016年3月到2017年2月间期间在我院行冠状动脉造影检查结果为未非左主干真性分叉病变并接受冠状动脉介入治疗的90例患者为研究对象作为研究对象,所有患者经患者本人同意,伦理委员会批准,按数字分组法随机分为对照组和观察组,每组45例,两组患者均在术前均在术前给予氯吡格雷和阿司匹林肠溶片口服,然后行主支血管单支架植入术,对照组患者采用传统边支保护技术治疗,观察组患者则采用拘禁球囊技术治疗。结果观察组患者的手术操作时间、X线曝光时间显著短于对照组,支架植入数量、造影剂使用量则显著少于对照组,比较均有统计学差异(P<0.05)。两组患者的介入手术治疗均成功,但对照组患者术中胸痛、冠脉夹层、支架膨胀不全等并发症的发生率均显著高于观察组,比较有统计学差异,P<0.05。但术中心律失常、血流减慢及术后分支闭塞或夹层、血清肌钙蛋白/心肌酶水平升高、分支血流动力学改变等的比较无统计学差异(P>0.05)。观察组和对照组患者随访期间的心血管不良事件发生率分别为8.9%和13.3%,比较无统计学差异(P>0.05)。结论拘禁球囊技术应用于冠状动脉真性分叉病变的介入治疗中可以对边支血管进行有效保护,且有操作简便,手术时间短,造影剂用量少,支架使用率少的优点,疗效与经典球囊对吻技术相当,远期不良心血管事件发生率更低,即刻效果和远期疗效都值得肯定。Objective:To analyze and compare the immediate and short-term effects of the balloon assisted technique and traditional side branch protection in the interventional treatment of true bifurcation lesions.Methods:In our hospital from March 2016 to February 2017 during the angiography of coronary artery in our hospital for non left main bifurcation lesions and 90 cases underwent percutaneous coronary intervention patients as the research object as the research object,with the consent of the patient in all patients,the approval of the ethics committee,according to the number of packets were randomly divided into the control group and observation group,45 cases in each group,two groups of patients before surgery were treated with preoperative oral clopidogrel and Aspirin Enteric-coated Tablets,then the main line of single vessel stent implantation,the control group used the traditional side protection treatment,patients in the observation group was detained by balloon technique in the treatment of.Results:The operative time and X-ray exposure time in the observation group were significantly shorter than those in the control group.The number of stent implants and the dosage of contrast medium were significantly less than those in the control group,and the difference was statistically significant(P<0.05).The interventional treatment of two groups of patients were successful,but the incidence of complications such as chest pain,coronary dissection and stent expansion was significantly higher in the control group than in the observation group,with a statistical difference(P<0.05).However,there was no statistically significant difference in arrhythmia,blood flow slowing,postoperative branch occlusion or dissection,elevated serum troponin/myocardial enzyme level,and branch hemodynamic changes(P>0.05).The incidence of adverse cardiovascular events in the observation group and the control group were 8.9%and 13.3%respectively during the follow-up period,and there was no statistical difference(P>0.05).Conclusion:Interventional

关 键 词：拘禁球囊技术 冠心病介入治疗 分叉病变分支保护 即刻效果 远期疗效 

分 类 号：R543[医药卫生—心血管疾病]