中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
16期
34-37
,共4页
桡动脉%血管成形术,气囊,冠状动脉%Allen试验
橈動脈%血管成形術,氣囊,冠狀動脈%Allen試驗
뇨동맥%혈관성형술,기낭,관상동맥%Allen시험
Radial artery%Angioplasty,balloon,coronary%Allen test
目的 探讨Allen试验阴性患者经桡动脉径路行经皮冠状动脉介入治疗(PCI)的安全性.方法 选择106例经桡动脉径路行PCI的患者,术前严格行Allen试验,并根据Allen试验结果分为阴性组(57例)和阳性组(49例),所有患者在冠状动脉造影前均经桡动脉径路行尺动脉、掌深弓、掌浅弓造影.对两组掌深弓、掌浅弓、尺动脉内径、显影帧数(从尺动脉显影到手部末梢血管显影)等指标进行对比分析.术后随访3个月,观察Allen试验阴性患者术后有无手部缺血并发症.结果 阴性组与阳性组尺动脉内径[(2.02±0.18) mm比(2.07±0.17) mm]及掌深弓、掌浅弓比例[85.96％(49/57)比87.76％(43/49),75.44％(43/57)比81.63％(40/49)]比较差异无统计学意义(P＞0.05).两组均未发生手部缺血并发症.阴性组与阳性组显影帧数[(218.6±63.6)帧比(180.8±44.1)帧]比较差异无统计学意义(P＞0.05),但显影帧数≥380帧比例[14.04％(8/57)比2.04％(1/49)]比较差异有统计学意义(P＜0.05).结论 Allen试验阴性患者经桡动脉径路行PCI基本是安全的,并非经桡动脉径路行PCI的绝对禁忌证.
目的 探討Allen試驗陰性患者經橈動脈徑路行經皮冠狀動脈介入治療(PCI)的安全性.方法 選擇106例經橈動脈徑路行PCI的患者,術前嚴格行Allen試驗,併根據Allen試驗結果分為陰性組(57例)和暘性組(49例),所有患者在冠狀動脈造影前均經橈動脈徑路行呎動脈、掌深弓、掌淺弓造影.對兩組掌深弓、掌淺弓、呎動脈內徑、顯影幀數(從呎動脈顯影到手部末梢血管顯影)等指標進行對比分析.術後隨訪3箇月,觀察Allen試驗陰性患者術後有無手部缺血併髮癥.結果 陰性組與暘性組呎動脈內徑[(2.02±0.18) mm比(2.07±0.17) mm]及掌深弓、掌淺弓比例[85.96％(49/57)比87.76％(43/49),75.44％(43/57)比81.63％(40/49)]比較差異無統計學意義(P＞0.05).兩組均未髮生手部缺血併髮癥.陰性組與暘性組顯影幀數[(218.6±63.6)幀比(180.8±44.1)幀]比較差異無統計學意義(P＞0.05),但顯影幀數≥380幀比例[14.04％(8/57)比2.04％(1/49)]比較差異有統計學意義(P＜0.05).結論 Allen試驗陰性患者經橈動脈徑路行PCI基本是安全的,併非經橈動脈徑路行PCI的絕對禁忌證.
목적 탐토Allen시험음성환자경뇨동맥경로행경피관상동맥개입치료(PCI)적안전성.방법 선택106례경뇨동맥경로행PCI적환자,술전엄격행Allen시험,병근거Allen시험결과분위음성조(57례)화양성조(49례),소유환자재관상동맥조영전균경뇨동맥경로행척동맥、장심궁、장천궁조영.대량조장심궁、장천궁、척동맥내경、현영정수(종척동맥현영도수부말소혈관현영)등지표진행대비분석.술후수방3개월,관찰Allen시험음성환자술후유무수부결혈병발증.결과 음성조여양성조척동맥내경[(2.02±0.18) mm비(2.07±0.17) mm]급장심궁、장천궁비례[85.96％(49/57)비87.76％(43/49),75.44％(43/57)비81.63％(40/49)]비교차이무통계학의의(P＞0.05).량조균미발생수부결혈병발증.음성조여양성조현영정수[(218.6±63.6)정비(180.8±44.1)정]비교차이무통계학의의(P＞0.05),단현영정수≥380정비례[14.04％(8/57)비2.04％(1/49)]비교차이유통계학의의(P＜0.05).결론 Allen시험음성환자경뇨동맥경로행PCI기본시안전적,병비경뇨동맥경로행PCI적절대금기증.
Objective To probe the safety of performing transradial artery percutaneous coronary intervention (PCI) for Allen test negative patients.Methods One hundred and six patients performed transradial artery PCI were enrolled in the study.The patients were divided into negative group (57 cases) and positive group (49 cases) according to Allen test results.Patients were performed ulnar artery angiography,deep palmar arch angiography and superficial palmar arch angiography.Ulnar artery diameter,deep palmar arch conditions,superficial palmar arch conditions,the frames counting through angiography on the side of ulnar vessel system,and hand ischemia after PCI (follow up for 3 months) was observed.Results There was no significant difference between negative group and positive group in parameters of ulnar artery diameter [(2.02 ±0.18) mm vs.(2.07 ±0.17) mm] and deep palmar arch and superficial palmar arch [85.96％ (49/57) vs.87.76％ (43/49),75.44％ (43/57) vs.81.63％ (40/49)] (P ＞0.05).The frames counting had no significant difference between negative group and positive group [(218.6 ± 63.6) frames vs.(180.8 ± 44.1) frames],but the ratio of the frames counting ≥380 frames had significant difference between negative group and positive group [14.04％(8/57) vs.2.04％(1/49)] (P ＜ 0.05).None of patients had been found to suffer from hand ischemia after PCI.Conclusion Transradial artery PCI is suitable for Allen test negative patients.
