经桡动脉和股动脉途径行冠状动脉造影的对比研究  

Comparison between transradial with transfermoral approach coronary angiography

作　　者：陈万强[1] 薛成相[1] 张红宾[1] 吕安林[2] 

机构地区：[1]解放军第三医院心内科,陕西宝鸡721004 [2]第四军医大学西京医院心血管内科,陕西西安710032

出　　处：《医师进修杂志》2004年第4期26-27,共2页Journal of Postgraduates of Medicine

摘　　要：目的　探讨经桡动脉和股动脉途径行冠状动脉造影的优缺点。方法　 2 0 0 2年 9月～ 2 0 0 3年 8月住院择期行冠状动脉造影的病人 10 0例 ,按桡动脉和股动脉途径分为两组 ,对比观察其X光照时间、手术操作时间、成功率、并发症发生率 ,并进行统计学处理。结果　X光照时间分别为 :(5 .86± 3.74 )min和 (5 .6 3± 3.6 4 )min(P >0 .0 5 ) ,手术操作时间分别为 (2 1.35± 11.6 2 )min和 (2 0 .87± 11.30 )min(P >0 .0 5 ) ,成功率分别为 97.8%和 98.2 % (P >0 .0 5 ) ,血管并发症分别为 4 .35 %和 12 .96 % (P <0 .0 1)。结论　经桡动脉途径进行冠状动脉介入治疗不需卧床 ,患者损伤小 ,止血方便 ,血管并发症少 ,是一种安全、有效的介入治疗方法。Objective To evaluate advantages and disadvantages of coronary artery angiography via radial vs femoral artery . Methods 100 cases undergoing coronary artery angiography were divided into 2 groups by the artery approaches, radial or femoral .X-ray irradiation time, operating time, success rate and complications were observed . Results As for the two groups, X-ray irradiation time was (5.86±3.74) min vs (5.63±3.64) min( P>0.05),the operating time (21.35±11.62) min vs ( 20.87 ±11.30) min( P>0.05),the success rate 97.8% vs 98.2%( P >0.05),and vessel complications occurrence 4.35% vs 12.96%( P <0.01)respectively. Conclusions Transradial approach for coronary artery angiography is a safe and effective approach.The patient need no confine to bed, with minimal invasions, and less vessel complications.

关 键 词：桡动脉 冠状动脉造影术 冠状动脉疾病 

分 类 号：R816.2[医药卫生—放射医学]