CAJ | 학술논문

目的：比较经桡动脉和股动脉途径行冠状动脉介入诊疗的辐射剂量。方法将170例患者随机分成桡动脉组和股动脉组，其中桡动脉组行冠状动脉造影（ CAG）10例，行冠状动脉介入治疗（ PCI）99例；股动脉组行CAG 8例，行PCI53例。比较不同途径行冠脉介入诊疗的剂量面积乘积，总射线量。结果 PCI组剂量面积乘积中位数值，桡动脉和股动脉组差异无统计学意义（ P=0.3887），总射线量中位数，两组差异无统计学意义（ P=0.9622）， CAG组剂量面积乘积中位数值，两组差异无统计学意义（ P=0.1725），总射线量中位数，两组差异无统计学意义（ P=0.2789）。结论患者及介入医师承受的辐射量等安全性在经股动脉途径和经桡动脉途径无明显差异。
목적：비교경뇨동맥화고동맥도경행관상동맥개입진료적복사제량。방법장170례환자수궤분성뇨동맥조화고동맥조，기중뇨동맥조행관상동맥조영（ CAG）10례，행관상동맥개입치료（ PCI）99례；고동맥조행CAG 8례，행PCI53례。비교불동도경행관맥개입진료적제량면적승적，총사선량。결과 PCI조제량면적승적중위수치，뇨동맥화고동맥조차이무통계학의의（ P=0.3887），총사선량중위수，량조차이무통계학의의（ P=0.9622）， CAG조제량면적승적중위수치，량조차이무통계학의의（ P=0.1725），총사선량중위수，량조차이무통계학의의（ P=0.2789）。결론환자급개입의사승수적복사량등안전성재경고동맥도경화경뇨동맥도경무명현차이。
Objective:To compare the radiation dose using radial and femoral artery access in coronary artery interven-tional diagnosis and treatment. Methods:170 patients were randomly divided into radial artery and femoral artery group. In the radial artery group,there were 10 coronary angiography( CAG)cases and 99 coronary intervention( PCI)cases;In the femoral artery group,there were 8 CAG cases and 53 PCI cases. The dose area product( DAP)and cumulative dose( CD) were compared using different approaches in coronary interventional diagnosis and treatment. Results:There was no signifi-cant difference in DAP using radial and femoral access in PCI(P=0. 3887). There was no significant difference in CD u-sing radial and femoral access in PCI(P=0. 9622). There was no significant difference in DAP using radial and femoral access in PCI(P=0. 1725). There was no significant difference in CD using radial and femoral access in CAG(P =0. 2789). Conclusion:The radiation dose of patients and interventional physicians are not significantly different when using radial and femoral access.