血管内超声在冠脉支架置入术中的应用.docVIP

精品论文 参考文献 血管内超声在冠脉支架置入术中的应用 田志强 　　（内蒙古自治区人民医院心内科 010017） 　　【摘要】目的 探讨血管内超声成像（IVUS）在冠状动脉支架置入术中的应用价值。方法 选取2010年1月～2013年12月间来我院救治的47例冠状动脉粥样硬化性心脏病患者作为研究对象，对其均行冠状动脉内支架植入术，并对其进行血管内超声成像的评价。结果 冠脉支架植入后有18例经IVUS评价为符合理想植入标准，与冠脉支架植入术前相比具有显著性差异，Plt;0.05；29例评价不理想患者行高压球囊再次扩张，最小管腔面积由首扩后的（7.4plusmn;1.5）mm2变为（9.3plusmn;1.4）mm2，据有统计学差异，Plt;0.05。行支架植入扩张后的最小管腔直径、最小管腔面积、总截面积均明显增加，斑块面积、面积狭窄率显著降低，具有显著差异性，Plt;0.05。最终29例患者均达到理想标准。结论 血管内超声成像能够对冠脉支架置入术进行科学评价，并指导首次扩张后不理想的病例进行高压球囊再扩张，具有重大临床价值。 　　【关键词】血管内超声成像 冠脉支架置入术 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2014）21-0039-02 　　【Abstract】Objective To investigate intravascular ultrasound imaging (IVUS) value of intraoperative placement of coronary stents. Method 47 cases of coronary heart disease patients as research subjects, who are in our hospital for treatment from January 2010 to December 2013, performed coronary stent implantation, and intravascular ultrasound imaging evaluation.Result After coronary stent implantation in 18 patients with IVUS evaluation criteria to meet the ideal implant, compared with previous coronary stent implantation has significant difference,Plt;0.05;29 patients were unsatisfactory with high-pressure balloon dilation,(7.4plusmn;1.5) mm2 becomes minimal lumen area by the first post-expansion (9.3plusmn;1.4)mm2, according to statistically significant,Plt;0.05.Minimum lumen diameter after expansion stent implantation, minimal lumen area, total cross-sectional area increased significantly, patch area, area stenosis was significantly lower, with a significant difference, P lt;0.05. Final 29 patients to achieved the desired standards. Conclusion Intravascular ultrasound imaging of coronary stenting can be scientifically evaluated and guidance after the first cases were unsatisfactory expansion of high-pressure balloon dilation again. It has significant clinical value. 　　【Key words】Intravascular ultrasoun Coronary stenting 　　冠状动脉支架置入术是治疗冠心病的重要方法之一，可有效治疗经皮冠状动脉腔内成形术后急性并发症以及