摘要
我院近年共完成经文穿刺冠状动脉腔内成形术（PTCA）68例，其中单支病变37例（54．4％），双支病变22例（32．4％），三支病变9例（13．2％）。PTCA共扩张79处病变，A型病变39处（49．4％），B型病变30处（37．9％），C型病变10处（12．7％）。3例采用邓导丝技术，5例采用灌注球囊导管，8例放置冠状动脉内支架，三例进行了冠状动脉内膜斑块定向切除术。PTCA的病倒成功率97.1％，病变成功率93．5％，本前平均狭窄（878±8．4）％，术后平均狭窄（14．1±46）％。1例死亡，无息性心肌梗塞和急诊冠状动脉搭桥者。讨论了PTCA的适应症、影响成功的因素以及并发症的预防，表明PTCA是冠心病的有效治疗手段。
Percutaneous transluminal coronary angioplasty was perforrned in 79 lesions of 68 patients from Jan 1988 to Feb 1996. Of the patients undergoing PTCA, 37 (54. 4% ) patients had single vessel disease, 22 (32. 4 % ) had two vessels disease and 9(13. 2 % ) with three or more vessels involved.There were 79 lesions dilated, of them type A lesions 39(49. 4%), type B lesions 30(37. 9 % ), typeC lesions 10 (12. 7%). Double-wire technique was used in 3 patients and autoperfusion balloon in 5,there were 9 patients undergoing intracoronary stents and one directional coronary athrectomy (DCA). The clinical success rate was 97. 1% and lesion success rate 93. 5%, average predilation stenosis was 87. 8 ±8. 4 and residual stenosis was 14. 1± 4. 6. One patient died from abrupt vessel closure, no acute myocardial infarction and emergency coronary bypass operation. The results showed that PTCA was an effective treatment for coronary heart disease.
出处
《西安医科大学学报》
CSCD
1997年第4期499-500,523,共3页
Journal of Xi'an Medical University(Chinese)
