| 闭塞性冠状动脉病变PTCA成功率及影响因素 |
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| 引用本文： | 马业新,张敬群,曾和松,郭小梅,杨汉东,曹雁阁,余枢.闭塞性冠状动脉病变PTCA成功率及影响因素[J].中国介入心脏病学杂志,1999(2). |
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| 作者姓名： | 马业新 张敬群 曾和松 郭小梅 杨汉东 曹雁阁 余枢 |
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| 作者单位： | 同济医科大学附属同济医院心内科，东风汽车集团中心医院，武汉钢铁公司第一职工医院 |
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| 基金项目： | 湖北省科委“九五攻关”课题 |
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| 摘 要： | 目的探讨完全闭塞性和几乎完全闭塞性病变ＰＴＣＡ成功率及其影响因素。方法对３５例发生过心肌梗塞和２１例未发生心肌梗塞的完全或几乎完全闭塞性病变施行了ＰＴＣＡ。结果完全闭塞性病变心梗发生后１周内ＰＴＣＡ成功率为１００％，２周～３个月为６６．７％，３个月以后为４２．９％；无桥侧支的几乎完全闭塞性病变ＰＴＣＡ成功率为１００％，桥侧支丰富的几乎完全闭塞性病变ＰＴＣＡ成功率为６２．５％。结论心肌梗塞早期ＰＴＣＡ成功率明显高于心肌梗塞晚期ＰＴＣＡ成功率（Ｐ＜０．０５），无桥侧支的几乎完全闭塞性病变ＰＴＣＡ成功率明显高于桥侧支丰富的几乎完全闭塞性病变的成功率（Ｐ＜０．０５）
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| 关 键 词： | 冠状动脉成形术.经皮.经腔 冠状动脉疾病 |
Success rate and influencing factors of PTCA of total coronary occlusion and sub total coronary occlusion |
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| Ma Yexin,Zhang Jingqun,Zeng Hesong,et al Cardiology.Success rate and influencing factors of PTCA of total coronary occlusion and sub total coronary occlusion[J].Chinese Journal of Interventional Cardiology,1999(2). |
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| Authors: | Ma Yexin Zhang Jingqun Zeng Hesong Cardiology |
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| Institution: | Ma Yexin,Zhang Jingqun,Zeng Hesong,et al Cardiology Department of Tongji Hospital,Tongji Medical University Wuhan 430030 |
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| Abstract: | PTCA was performed on 35 patients with and 21 patients without a history of myocardial infarction All patients had a total or sub total coronary occlusion The success rate of PTCA within 1 week of AMI was 100%, between two weeks and three months was 66 7%, over six months after AMI was 42 9%; The success rate of PTCA of subtotal coronary occlusion without collateral circulation was 100%, with abundant collateral circulation was 62 5% The success rate of PTCA performed in the earlier stage was significantly higher than that performed in the later stage after AMI ( P <0 05), that of sub total coronary occlusion without collateral circulation was obviously higher than that of lesion with abundant collateral circulation ( P <0 05) |
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| Keywords: | Coronary angioplasty percutaneous transluminal Coronary angiogrophy |
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