冠状动脉造影后即刻支架术与择期支架术的临床研究文,医学文.docVIP

冠状动脉造影后即刻支架术与择期支架术的临床研究论文,医学论文... 冠状动脉造影后即刻支架术与择期支架术的临床研究 申国璋，沈向前，胡信群，方臻飞，周胜华，祁述善，唐建军，周 滔 摘要】 目的 比较冠状动脉造影后即刻支架术与择期支架术的成功率和并发症发生率，从而探讨即刻支架术的临床应用价值。方法 对2005年1～12月在我科行冠状动脉造影后即刻支架术（即刻组，n=115例）和择期支架术（择期组，n=172例）患者的资料进行分析。结果 A型和B型病变的成功率和并发症率两组间差异无统计学意义（P＞0.05），而C型病变的成功率即刻组低于择期组（P＜0.01），而并发症率高于择期组（P=0.05）。结论 A型和B型病变冠状动脉造影后即刻支架术是临床可行的，而C型病变不宜冠状动脉造影后即刻支架术。因此，冠状动脉造影后即刻支架术有一定的临床应用价值。 【关键词】 冠状动脉造影；经皮冠脉介入治疗；经皮冠状动脉腔内成形术；支架 Clinical study of immediate stenting and elective stenting after coronary angiography 【Abstract】 Objective To compare the success rate and complication rate of stenting immediately and selective stenting after coronary angiography，and to estimate the clinical evaluation of stenting immediately.Methods 115 patients who underwent stenting immediately after coronary angiography were enrolled in immediate group(group 1)，and 172 patients on whom stenting and coronary angiography were performed in two different selective days were enrolled in selective group(group 2) in our catheter room during 2005.The clinical manifestations，target lesion characteristics and length and diameter of stent of two groups were similar.Results The success rates and complication rate types A and B lesions were not significantly different between two groups(P＞0.05).The success rate of type C lesions in group 1 was lower than that in group 2(62.5% vs 86.0%，P=0.007).The complication rate of type C lesions in group 1 was higher than that in group 2(35.0% vs 17.5%，P=0.05).Conclusions Types A and B lesions were receivable to be performed stenting immediately and type C lesions were suitable to be performed it immediately after coronary angiography.So stenting immediately after coronary angiography has some extent of clinical evaluation. 随着冠心病的发病率越来越高和经皮冠脉介入治疗（PCI）的推广应用，PCI已成为治疗冠心病的一个重要措施。本研究比较了即刻支架术与择期支架术成功率和并发症的发生率，为临床选择支架术的时机提供依据。现对2005年1～12月在我科行冠状动脉造影后即刻支架术（即刻组）和择期支架术（择期组）患者的临床资料分析如下。 1 资料与方法 1.1 一般资料 所有患者按Judkins法行冠状动脉造影后，立即行支架术的患者入即刻组，不立即行支架