解放军医学杂志
解放軍醫學雜誌
해방군의학잡지
MEDICAL JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2005年
7期
587-589
,共3页
冠状动脉疾病%冠状动脉造影术%三支病变%心室功能,左
冠狀動脈疾病%冠狀動脈造影術%三支病變%心室功能,左
관상동맥질병%관상동맥조영술%삼지병변%심실공능,좌
coronary disease%coronary angiography%triple vessel lesion%ventricular function,left
目的分析冠状动脉三支病变的临床特点,为该类患者的治疗提供理论依据.方法回顾性对比分析经冠状动脉造影明确为冠脉三支病变的患者68例及冠脉单支或双支病变71例的临床资料.结果三支病变组患者与单双支病变组四种高危因素(高血压、高血脂、糖尿病、吸烟)及其聚集性未见显著性差异(P>0.05).三支病变组运动平板试验的阳性率(23/24)显著高于单双支病变组(26/42,P<0.01),两组侧支循环建立情况及左室造影的LVEF、LVEDP值比较均有显著性差异(P<0.001),三支病变组冠脉病变以IV级为主,发生Ⅲ级和Ⅳ级病变的处数较单双支病变组显著增多,三支病变组48/68例患者接受了介入治疗,但术后心绞痛发生率及需再次行血运重建比例较高.结论条件允许时,冠状动脉三支病变患者目前应首选冠脉搭桥手术(CABG)治疗.
目的分析冠狀動脈三支病變的臨床特點,為該類患者的治療提供理論依據.方法迴顧性對比分析經冠狀動脈造影明確為冠脈三支病變的患者68例及冠脈單支或雙支病變71例的臨床資料.結果三支病變組患者與單雙支病變組四種高危因素(高血壓、高血脂、糖尿病、吸煙)及其聚集性未見顯著性差異(P>0.05).三支病變組運動平闆試驗的暘性率(23/24)顯著高于單雙支病變組(26/42,P<0.01),兩組側支循環建立情況及左室造影的LVEF、LVEDP值比較均有顯著性差異(P<0.001),三支病變組冠脈病變以IV級為主,髮生Ⅲ級和Ⅳ級病變的處數較單雙支病變組顯著增多,三支病變組48/68例患者接受瞭介入治療,但術後心絞痛髮生率及需再次行血運重建比例較高.結論條件允許時,冠狀動脈三支病變患者目前應首選冠脈搭橋手術(CABG)治療.
목적분석관상동맥삼지병변적림상특점,위해류환자적치료제공이론의거.방법회고성대비분석경관상동맥조영명학위관맥삼지병변적환자68례급관맥단지혹쌍지병변71례적림상자료.결과삼지병변조환자여단쌍지병변조사충고위인소(고혈압、고혈지、당뇨병、흡연)급기취집성미견현저성차이(P>0.05).삼지병변조운동평판시험적양성솔(23/24)현저고우단쌍지병변조(26/42,P<0.01),량조측지순배건립정황급좌실조영적LVEF、LVEDP치비교균유현저성차이(P<0.001),삼지병변조관맥병변이IV급위주,발생Ⅲ급화Ⅳ급병변적처수교단쌍지병변조현저증다,삼지병변조48/68례환자접수료개입치료,단술후심교통발생솔급수재차행혈운중건비례교고.결론조건윤허시,관상동맥삼지병변환자목전응수선관맥탑교수술(CABG)치료.
Objective To study the clinical characters of coronary artery triple vessel lesion, and to provide a theoretical basis for the therapy to the disease. Methods The clinical data of 68 cases of coronary artery triple vessel lesion (group A) and 71 cases of coronary artery of single or double vessel lesion (group B) were analyzed retrospectively. Results The related risk factors (hypertension, hyperlipidemia, diabetes and smoking) and the clustering of these factors were not significantly different between the two groups (P>0.05). While the positive rate of the exercise stress test existed remarkable difference between the two groups(P<0.01).The extreme differences between the two groups existed also in the cases of building collateral circulation (P<0.001), and in LVEF and LVEDP (P<0.0001) demonstrated by left ventricular angiography. The majority of the coronary artery lesion in group A was on level Ⅳ, and much more lesions of level Ⅲ and level Ⅳ occurred in group A than in group B. Most patients in group A accepted the coronary intervention, while after operation the angina pectoris emerged in a high rate, then the rebuilding of coronary circulation had to be done. Conclusions The best treatment for the patients with coronary artery triple vessel lesion should be the operation of coronary artery bypass graft (CABG), if it's possible.
