中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
CHINESE JOURNAL OF GERIATRIC CARDIOVASCULAR AND CEREBROVASCULAR DISEASES
2014年
6期
574-576
,共3页
张建起%石蕊%王燕%姜铁民%李玉明
張建起%石蕊%王燕%薑鐵民%李玉明
장건기%석예%왕연%강철민%리옥명
超声检查 ,介入性%冠状血管造影术%支架%冠状动脉再狭窄
超聲檢查 ,介入性%冠狀血管造影術%支架%冠狀動脈再狹窄
초성검사 ,개입성%관상혈관조영술%지가%관상동맥재협착
ultrasonography,interventional%coronary angiography%stents%coronary restenosis
目的:评价血管内超声(IVUS)对小血管病变介入治疗的临床意义。方法回顾性分析2010年10月~2013年2月于我院接受介入治疗的单支小血管(≤2.5mm)病变患者共237例,其中,IVUS指导下介入治疗的患者105例(Ⅰ组),冠状动脉造影(CAG)指导下介入治疗的患者132例(Ⅱ组)。分析2组患者基线资料、病变特点、介入治疗及随访期间心脏不良事件和再狭窄情况。结果2组患者介入治疗均成功,Ⅰ组和Ⅱ组置入支架直径[(2.50±0.40)mmvs(2.34±0.37)mm]、支架长度[(28.75±7.77)mmvs(35.78±10.45)mm]、支架高压后扩张(91.4%vs55.3%)和支架内再狭窄(1.9%vs7.6%)比较,差异有统计学意义(P=0.002,P=0.000,P=0.000,P=0.042);2组串联支架、CAG随访比较差异无统计学意义(P>0.05)。2组患者住院及随访1、3和6个月期间,均无主要不良心脏事件发生。结论对于小血管病变的介入治疗,IVUS具有较好的指导作用。
目的:評價血管內超聲(IVUS)對小血管病變介入治療的臨床意義。方法迴顧性分析2010年10月~2013年2月于我院接受介入治療的單支小血管(≤2.5mm)病變患者共237例,其中,IVUS指導下介入治療的患者105例(Ⅰ組),冠狀動脈造影(CAG)指導下介入治療的患者132例(Ⅱ組)。分析2組患者基線資料、病變特點、介入治療及隨訪期間心髒不良事件和再狹窄情況。結果2組患者介入治療均成功,Ⅰ組和Ⅱ組置入支架直徑[(2.50±0.40)mmvs(2.34±0.37)mm]、支架長度[(28.75±7.77)mmvs(35.78±10.45)mm]、支架高壓後擴張(91.4%vs55.3%)和支架內再狹窄(1.9%vs7.6%)比較,差異有統計學意義(P=0.002,P=0.000,P=0.000,P=0.042);2組串聯支架、CAG隨訪比較差異無統計學意義(P>0.05)。2組患者住院及隨訪1、3和6箇月期間,均無主要不良心髒事件髮生。結論對于小血管病變的介入治療,IVUS具有較好的指導作用。
목적:평개혈관내초성(IVUS)대소혈관병변개입치료적림상의의。방법회고성분석2010년10월~2013년2월우아원접수개입치료적단지소혈관(≤2.5mm)병변환자공237례,기중,IVUS지도하개입치료적환자105례(Ⅰ조),관상동맥조영(CAG)지도하개입치료적환자132례(Ⅱ조)。분석2조환자기선자료、병변특점、개입치료급수방기간심장불량사건화재협착정황。결과2조환자개입치료균성공,Ⅰ조화Ⅱ조치입지가직경[(2.50±0.40)mmvs(2.34±0.37)mm]、지가장도[(28.75±7.77)mmvs(35.78±10.45)mm]、지가고압후확장(91.4%vs55.3%)화지가내재협착(1.9%vs7.6%)비교,차이유통계학의의(P=0.002,P=0.000,P=0.000,P=0.042);2조천련지가、CAG수방비교차이무통계학의의(P>0.05)。2조환자주원급수방1、3화6개월기간,균무주요불양심장사건발생。결론대우소혈관병변적개입치료,IVUS구유교호적지도작용。
Objective To assess the clinical significance of intravascular ultrasonography (IVUS)-guided intervention therapy for small vessel lesions .Methords Two hundred and thirty-seven pa-tients who underwent intervention therapy for single vessel (≤2 .5 mm) lesions in our hospital from October 2010 to February 2013 were divided into IVUS-guided intervention therapy group (n=105)and coronary ateriography-guided group (n=132) .Their baseline parameters ,lesion fea-tures ,main adverse cardiac events (MACE) and restenosis during follow-up were analyzed . Results Intervention therapy for the two groups was successful .The diameter ,length ,dilation and restenosis of stents were significantly different between the two groups ( P= 0 .002 ,P=0.000 ,P= 0.000 ,P= 0 .042) .However ,no significant difference was found in the incidence of series stent and MACE during follow-up (P>0 .05) .Conclusion IVUS plays an important role in intervention therapy for small vessel lesions .