经桡动脉与经股动脉途径行PCI术的对比分析

目的对比两种途径行冠状动脉腔内成形术(PCI)的临床应用价值。方法选择我院2005年9月~2006年7月180例接受PCI术病例,依据手术进入途径分为桡动脉组87例、股动脉组93例,观察疗效和并发症。结果桡动脉组7例出现桡动脉痉挛,股动脉组4例出现下肢皮下血肿。两组患者手术成功比例、支架施放部位的差别无统计学意义(P>0.05)。平均卧床时间桡动脉组明显少于股动脉组,差别有统计学意义(P<0.05)。在施行的急诊例数方面,股动脉组明显高于桡动脉组(P<0.05)。结论与股动脉途径相比,经桡动脉途径PCI,效果相近,同样安全有效,而外周血管并发症较轻,并减少患者的卧床时间。

A Contrastive Study of Transradial and Tranfemoral Accesses for PCI

Objective To compare the clinical application values of both transradial approach and transfemoral approach for percutaneous coronary interventions(PCI).Methods From September,2005 to July,2006 in the Affiliated Hospital to Ningxia Medical College 180 cases were performed percutaneous coronary interventions,PCI.The cases were divided into the transradial group and the transfemoral group bases on different approaches to compare the operations and their healing powers together with complications during and after operation.Results Among 87 cases in the tranradial group and 93 cases in transfemoral group were given PCI without marked differences in operation successes.7 cases had radial spasm in the radial group and 4 cases had local hematoma in the femoral group.The average post-PCI bed-staying time in the radial group were significant shorter than that in the femoral group.The cases with emergency in the radial group were less than that in the femoral group.Conclusion Against the transfemoral approach,PCI by transradial coronary interventions have the similar effects with fewer vascular complications and more comfort for patients.