中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2007年
z1期
4-5
,共2页
刘再宇%王宏伟%刘培敏%任国成%孙磊%崔红玉
劉再宇%王宏偉%劉培敏%任國成%孫磊%崔紅玉
류재우%왕굉위%류배민%임국성%손뢰%최홍옥
冠心病%介入治疗%经桡动脉途径
冠心病%介入治療%經橈動脈途徑
관심병%개입치료%경뇨동맥도경
Coronary heart disease%Intervention treatment%Transradial coronary
目的 探讨经桡动脉行冠心病介入检查及治疗在经济欠发达地区的应用前景.方法 连续统计2005年8月至2007年6月于我院行经桡动脉途径冠状动脉造影及冠状动脉介入治疗的病例资料220例,观察手术成功率、并发症及住院总费用,与文献荟萃资料进行对比分析.结果 220例患者均首先采取经桡动脉穿刺行冠状动脉造影检查及介入治疗,桡动脉穿刺成功217例,成功率98.6%;失败3例经股动脉穿刺,介入检查及治疗总成功率100%.桡动脉穿刺成功217例患者中冠状动脉造影阴性者74例,另143例显示有明确冠状动脉病变(管腔狭窄≥70%),其中单只病变50例(35.1%),双只病变71例(50.4%),多只病变22例(14.5%),对229处靶病变进行介入治疗,植入支架265枚,无严重并发症发生,术后住院(2.7±1.8)d,经桡动脉行冠心病介入检查及治疗患者的住院总费用为人民币5065～82 677元,平均(30 566±25 208)元,与文献荟萃资料进行对比均无统计学差异.结论 经桡动脉行冠心病介入检查及治疗是一种安全、有效、治疗费用低、患者容易接受的治疗方法,在经济欠发达地区有广泛的应用前景.
目的 探討經橈動脈行冠心病介入檢查及治療在經濟欠髮達地區的應用前景.方法 連續統計2005年8月至2007年6月于我院行經橈動脈途徑冠狀動脈造影及冠狀動脈介入治療的病例資料220例,觀察手術成功率、併髮癥及住院總費用,與文獻薈萃資料進行對比分析.結果 220例患者均首先採取經橈動脈穿刺行冠狀動脈造影檢查及介入治療,橈動脈穿刺成功217例,成功率98.6%;失敗3例經股動脈穿刺,介入檢查及治療總成功率100%.橈動脈穿刺成功217例患者中冠狀動脈造影陰性者74例,另143例顯示有明確冠狀動脈病變(管腔狹窄≥70%),其中單隻病變50例(35.1%),雙隻病變71例(50.4%),多隻病變22例(14.5%),對229處靶病變進行介入治療,植入支架265枚,無嚴重併髮癥髮生,術後住院(2.7±1.8)d,經橈動脈行冠心病介入檢查及治療患者的住院總費用為人民幣5065～82 677元,平均(30 566±25 208)元,與文獻薈萃資料進行對比均無統計學差異.結論 經橈動脈行冠心病介入檢查及治療是一種安全、有效、治療費用低、患者容易接受的治療方法,在經濟欠髮達地區有廣汎的應用前景.
목적 탐토경뇨동맥행관심병개입검사급치료재경제흠발체지구적응용전경.방법 련속통계2005년8월지2007년6월우아원행경뇨동맥도경관상동맥조영급관상동맥개입치료적병례자료220례,관찰수술성공솔、병발증급주원총비용,여문헌회췌자료진행대비분석.결과 220례환자균수선채취경뇨동맥천자행관상동맥조영검사급개입치료,뇨동맥천자성공217례,성공솔98.6%;실패3례경고동맥천자,개입검사급치료총성공솔100%.뇨동맥천자성공217례환자중관상동맥조영음성자74례,령143례현시유명학관상동맥병변(관강협착≥70%),기중단지병변50례(35.1%),쌍지병변71례(50.4%),다지병변22례(14.5%),대229처파병변진행개입치료,식입지가265매,무엄중병발증발생,술후주원(2.7±1.8)d,경뇨동맥행관심병개입검사급치료환자적주원총비용위인민폐5065～82 677원,평균(30 566±25 208)원,여문헌회췌자료진행대비균무통계학차이.결론 경뇨동맥행관심병개입검사급치료시일충안전、유효、치료비용저、환자용역접수적치료방법,재경제흠발체지구유엄범적응용전경.
Objective To discuss the application future of transradial coronary intervention in under-development region.Methods 220 patients underwent the transradial coronary arteriongraphy and intervention treatment from 2005 to 2007.The success rate,complications and hospital cost were compared with literature.Results At the beginning 220 cases underwent transradial coronary arteriongraphy and intervention treatment,including success in 217 cases with success rate of 98.6% and failed transartery pierce in 3 cases.The success rate of intervention examination and treatment reached 100%.In the 217 successful cases,74 cases presented negative coronary arteriongraphy,143 cases had clear pathological changes,including 50 single changes,71 double changes and 22 muhichanges.Through intervention treatment to targeted changes in 229 cases,transplanting 265 intents,there was no complication.The patients would be in hospital for(2.7+1.8 days)after operations,and the total medical fees of the transradial coronary artefiongraphy and intervention treatment were RMB 505682677,which was no significant difference with the documentary materials.Conclusion The transradial coronary arteriongraphy and intervention treatment is a safe,effective,economical and acceptable medical method,which has wide application future in underdevelopment regions.
