CAJ | 학술논문

目的：探讨冠状动脉三维可视化系统(V1.02)在冠心病介入诊疗中的应用效果。方法收集冠状动脉慢性完全闭塞病变( CTO)患者121例,根据是否使用三维可视化系统进行经皮冠状动脉介入治疗( PCI)分组,60例为对照组,单独采用冠状动脉介入影像定量分析系统辅助PCI。61例为观察组,结合三维可视化系统( V1．02)辅助PCI。分析比较两组患者介入术成功率,严重并发症发生情况和对医患X线辐射暴露时间的影响。结果观察组和对照组介入成功率分别为88．5%(54/61)和73．3%(44/60),差异有统计学意义(P<0．05)；介入并发症发生率分别为3．3%(2/61)和16．7%(10/60),差异有统计学意义(P<0．05)；手术时间分别为(75．9±9．2) min和(101．5±15．8) min,差异有统计学意义( P<0．01)。结论三维可视化系统( V1．02)应用于CTO介入诊疗中,可以明显提高手术成功率,减少冠状动脉痉挛、血管夹层及血管穿孔破裂等并发症,缩短医患X线辐射暴露时间,值得在临床上进一步推广。
목적：탐토관상동맥삼유가시화계통(V1.02)재관심병개입진료중적응용효과。방법수집관상동맥만성완전폐새병변( CTO)환자121례,근거시부사용삼유가시화계통진행경피관상동맥개입치료( PCI)분조,60례위대조조,단독채용관상동맥개입영상정량분석계통보조PCI。61례위관찰조,결합삼유가시화계통( V1．02)보조PCI。분석비교량조환자개입술성공솔,엄중병발증발생정황화대의환X선복사폭로시간적영향。결과관찰조화대조조개입성공솔분별위88．5%(54/61)화73．3%(44/60),차이유통계학의의(P<0．05)；개입병발증발생솔분별위3．3%(2/61)화16．7%(10/60),차이유통계학의의(P<0．05)；수술시간분별위(75．9±9．2) min화(101．5±15．8) min,차이유통계학의의( P<0．01)。결론삼유가시화계통( V1．02)응용우CTO개입진료중,가이명현제고수술성공솔,감소관상동맥경련、혈관협층급혈관천공파렬등병발증,축단의환X선복사폭로시간,치득재림상상진일보추엄。
Objective To investigate the three-dimensional visualization of coronary system ( V1 . 02 ) in coronary intervention in the application results. Methods 121 total occlusion ( CTO) patients were selected, depending on whether the use of three-dimensional visualization system undergoing percutaneous coronary intervention ( PCI ) group. 60 cases of the control group used a single coronary intervention quantitative image analysis system for sec-ondary PCI. 61 cases of the observation group, combined with 3D visualization system (V1. 02) assisted PCI. A-nalysis and comparison of the two groups were involved in the success rate of the doctor-patient cases and X-ray ra-diation exposure effects serious complications. Results Observation group and the control group were involved in the success rate of 88. 5% (54/61) and 73. 3% (44/60), the difference was statistically significant (P<0. 05). Interventional complication rate was 3. 3% (2/61) and 16. 7%(10/60) respectively, the difference was statisti-cally significant (P<0. 05). Surgical time was (75. 9 ± 9. 2) min and (101. 5 ± 15. 8) min, the difference was statistically significant ( P <0. 01 ) . Conclusion 3 D visualization system ( V1 . 02 ) used in the diagnosis and treatment CTO intervention can significantly improve the success rate of the hand, reducing coronary artery spasm, vascular dissection and rupture of vascular complications such as perforation, shortening the doctor-patient X-ray ra-diation exposure time, worthy of clinical further promotion.