Jailed球囊技术在冠状动脉分叉病变介入治疗中的效果研究  

Study on effect of Jailed balloon technique in interventional treatment of coronary artery bifurcation lesions

作　　者：韩亚岩 徐进芳 许达亮 高盛富 HAN Ya-yan;XU Jin-fang;XU Da-liang(Department of Cardiology,Nanhai District Fourth People's Hospital,Foshan 528211,China)

机构地区：[1]佛山市南海区第四人民医院心内科,528211

出　　处：《中国实用医药》2023年第1期59-62,共4页China Practical Medicine

摘　　要：目的 探讨拘禁闭陷(Jailed)球囊技术在冠状动脉分叉病变介入治疗中的效果。方法 60例冠状动脉分叉病变介入治疗的患者,依据治疗方法不同分为Jailed球囊技术治疗组与分支血管球囊对吻术组,各30例。分支血管球囊对吻术组患者采用分支血管球囊对吻术治疗, Jailed球囊技术治疗组患者采用Jailed球囊技术治疗。比较两组手术相关指标,心血管不良事件发生情况,术后即刻、术后1年病变主支血管最大狭窄率与分支血管开口狭窄率。结果 Jailed球囊技术治疗组患者的介入操作时间(52.43±5.56)min、曝光时间(9.14±1.35)min均短于分支血管球囊对吻术组的(80.32±4.76)、(23.75±2.06)min,置入支架数量(1.50±0.15)枚、造影剂用量(90.35±3.75)ml均少于分支血管球囊对吻术组的(3.00±0.45)枚、(145.62±4.47)ml,手术费用(2.45±0.26)万元低于分支血管球囊对吻术组的(3.24±0.31)万元,差异均有统计学意义(P<0.05)。术后1年,两组病变主支血管最大狭窄率与分支血管开口狭窄率均低于本组术后即刻,且Jailed球囊技术治疗组病变分支血管开口狭窄率低于分支血管球囊对吻术组,差异均有统计学意义(P<0.05)。Jailed球囊技术治疗组患者的心血管不良事件发生率6.67%(2/30)低于分支血管球囊对吻术组的33.33%(10/30),差异有统计学意义(P<0.05)。结论 Jailed球囊技术用于冠状动脉分叉病变介入治疗中的效果显著优于分支血管球囊对吻术,值得推广。Objective To discuss the effect of Jailed balloon technique in interventional treatment of coronary artery bifurcation lesions. Methods A total of 60 patients with coronary artery bifurcation lesions undergoing interventional therapy were divided into Jailed balloon technique group and the branch vessel balloon kissing group according to different treatment methods, with 30 patients in each group. Both groups were compared in terms of surgery related indexes, occurrence of cardiovascular adverse events, the maximum stenosis rate of the main vessels and branch vessel opening stenosis rate were compared between the two groups immediately after surgery and 1 year after surgery. Results The interventional operation time(52.43±5.56) min and exposure time(9.14±1.35) min in the Jailed balloon technique group were shorter than(80.32±4.76) and(23.75±2.06) min in the branch vessel balloon kissing group;the number of stents(1.50±0.15) and the amount of contrast agent(90.35±3.75) ml in the Jailed balloon technique group were less than(3.00±0.45) and(145.62±4.47) ml in the branch vessel balloon kissing group;the cost of surgery(2.45±0.26) million yuan in the Jailed balloon technique group was lower than(3.24±0.31) million yuan in the balloon anastomosis group;the differences were statistically significant(P<0.05). At 1 year after surgery, the maximum stenosis rate of the main vessel and the branch vessel opening stenosis rate in both groups were lower than those immediately after surgery;the branch vessel opening stenosis rate in the Jailed balloon technique group was lower than that in the branch vessel balloon kissing group;the differences were statistically significant(P<0.05). The incidence of adverse cardiovascular events in the Jailed balloon technique group was 6.67%(2/30), which was lower than 33.33%(10/30) in the branch vessel balloon kissing group, and the difference was statistically significant(P<0.05). Conclusion Jailed balloon technique for interventional treatment of coronary artery bifurcation lesion

关 键 词：冠状动脉分叉病变 介入治疗 分支血管球囊对吻术 Jailed球囊技术 心血管不良事件 

分 类 号：R541.4[医药卫生—心血管疾病]