冠状动脉内支架术的临床应用  

Experimence of intracoronary stenting

作　　者：贾绍斌[1] 沙勇[1] 白如冰[1] 魏宁[1] 仇玉民[1] 张金莉[1] 白向荣[1] 汤蓉[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2004年第4期204-206,共3页Ningxia Medical Journal

摘　　要：目的　了解冠状动脉内支架置入术治疗的安全性和有效性。方法　回顾性分析自2000年7月-2003年4月完成191例冠脉内支架置入术,其中单支病变122例,双支病变56例,三支病变13例,左主干病变1例。19例患者为慢性完全闭塞性病变。结果　共273处病变中8.42%的患者为复杂病变(B2或C型)。全部病例的成功率为97.0%。院内主要并发症及发生率急性冠脉闭塞率1.04%(2191),冠脉夹层2.61%(5191),血栓发生率1.57%(3191),冠脉痉挛7.85%(15191)。结论　冠脉内支架置入术治疗包括复杂病变在内的冠心病成功率高,并发症低,疗效确切。Objective To summarize the results of intracoronary stenting in 191 cases from July 2000 to April 2003.Methods The clinical and angiographic results after intracoronary stenting in 191 consecutive patients from July 2000 to April 2003 were retrospectively analyzed. The whole group included 122 cases with single vessel disease, 56 cases with double vessel disease, 13 cases with triple vessel disease and 1 case with left main coronary disease. There were 19 cases with chronic total occlusion. Results There were 273 lesions in total,most lesions (8.42%) showed unfavorable characteritics(type B 2 or C) .Successful rate of intracoronary stenting was 97.0%. In-hospital complications included that 2 patients suffered acute coronary occlusion disease, 5 patients suffered coronary disseetion, 3 cases suffered thrombosis, 15 cases suffered coronary spasm.Conclusion Intracoronary stenting shows a high successful rate,few complications and favorable outcomes.

关 键 词：冠状动脉疾病 支架置入术 介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]