IVUS参数联合FFR对经皮冠状动脉介入治疗患者远期预后的预测价值分析  

Analysis of the Predictive Value of IVUS Parameters Combined with FFR for Long-Term Prognosis in Patients Undergoing Percutaneous Coronary Intervention

作　　者：丁庆洁 DING Qingjie(Department of Imaging,County Hospital of Cao County,Heze 274000,China)

机构地区：[1]山东省曹县县立医院影像中心,山东菏泽274000

出　　处：《中国伤残医学》2025年第7期96-99,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析血管内超声(IVUS)参数联合心肌血流储备分数(FFR)对经皮冠状动脉介入治疗(PCI)患者远期预后的预测价值。方法:择取2022年4月—2024年4月曹县县立医院收治的80例PCI治疗患者为研究对象,所有患者均经IVUS参数、FFR检查。根据患者是否发生不良心血管事件将其分为预后不良组及预后良好组,分析IVUS参数联合FFR检查对PCI患者远期预后的预测价值。结果:80例患者中,共有21例患者纳入预后不良组,占比为26.25%。预后不良组斑块负荷、斑块面积、重构指数、偏心指数均高于预后良好组,FFR低于预后良好组,差异均有统计学意义(P<0.05)。受试者操作特征曲线显示,斑块负荷、斑块面积、重构指数、偏心指数、FFR及联合检测预测PCI患者远期预后的曲线下面积均>0.70,其中联合检测最高。结论:IVUS参数联合FFR检测对PCI患者预后预测价值较高,可评估PCI患者的预后情况。Objective:To analyze the predictive value of intravascular ultrasound(IVUS)parameters combined with fractional flow reserve(FFR)in the long term prognosis of patients undergoing percutaneous coronary intervention(PCI).Methods:A total of 80 patients treated with PCI admitted to Caoxian County Hospital from April 2022 to April 2024 were selected as the study objects.All patients were examined by IVUS parameters and FFR.The patients were divided into a poor prognosis group and a good prognosis group according to the occurrence of adverse cardiovascular events,and the predictive value of IVUS parameter combined with FFR in the long-term prognosis of PCI patients was analyzed.Results:Among the 80 patients,21 patients were included in the poor prognosis group,accounting for 26.25%.The plaque load,plaque area,remodeling index and eccentricity index in the poor prognosis group were higher than those in the good prognosis group,and FFR was lower than those in the good prognosis group,with statistical significance(P<0.05).The receiver operation characteristic curve showed that the area under the curve of plaque load,plaque area,remodeling index,eccentricity index,FFR and combined detection to predict the long-term prognosis of PCI patients were all>0.70,and the combined detection was the highest.Conclusion:IVUS parameter combined with FFR detection has high prognostic value in PCI patients,and can evaluate the prognosis of PCI patients.

关 键 词：经皮冠状动脉介入治疗 血管内超声参数 心肌血流储备分数 斑块负荷 斑块面积 

分 类 号：R541[医药卫生—心血管疾病]