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经皮冠状动脉腔内支架置入术治疗冠心病
引用本文:王忠,马建新,吴金家,罗丽萍,徐卫亭,程慧,杜成,杨玉茹,陈肖芸,毕焕林. 经皮冠状动脉腔内支架置入术治疗冠心病[J]. 医学理论与实践, 2002, 15(1): 11-13
作者姓名:王忠  马建新  吴金家  罗丽萍  徐卫亭  程慧  杜成  杨玉茹  陈肖芸  毕焕林
作者单位:石河子大学医学院第一附属医院心内科,新疆石河子,832008
摘    要:目的:评估冠状动脉内支架置入术的效果。方法:回顾性分析1996年2月~2000年2月我院接受冠状动脉内支架置入术的120例病人的治疗效果。结果:在183处病变共置入支架125只。在未经介入性治疗的病变置入支架(De novo stenting)101只,PTCA结果不理想(suboptimal)置入支架19只,2例PTCA并发夹层,濒临闭塞时紧急置入支架(Bail-out stenting)2只,在再狭窄病变置入支架3只。置入支架平均直径3.00±0.69mm,平均长度18.15±10.26mm。手术即刻成功率98.4%,主要并发症率为1.6%((2例AMI)。结论:冠脉内支架置入术是治疗冠心病的一种安全有效的介入性治疗技术,其成功率高,并发症少。

关 键 词:冠状动脉  冠心病  支架植入术
修稿时间:2001-09-15

Treatment of Coronary Heart Disease by Intracoronary Stenting
WANG Zhong,MA Jianxin,WU Jinjia,LUO Liping,XU Weiting,CHENG Hui,DU Cheng,YANG Yuru,CHEN Xiaoyun,BI Huanlin. Treatment of Coronary Heart Disease by Intracoronary Stenting[J]. The Journal of Medical Theory and Practice, 2002, 15(1): 11-13
Authors:WANG Zhong  MA Jianxin  WU Jinjia  LUO Liping  XU Weiting  CHENG Hui  DU Cheng  YANG Yuru  CHEN Xiaoyun  BI Huanlin
Affiliation:WANG Zhong,MA Jianxin,WU Jinjia,LUO Liping,XU Weiting,CHENG Hui,DU Cheng,YANG Yuru,CHEN Xiaoyun,BI Huanlin. Department of Cardiology,First Affliliated Hospital,Shihezi Medical College,Xinjiang 832008
Abstract:To appraise the results of intracoronary stenting for treating coronary heart disease. Methods:The clinical and angiographic results after coronary stenting in 120 patients treated in our hospital from February 1996 to February 2000 were retrospectively analysed.There were type A lesions in 25 cases, type B lesions in 67 cases and type C lesions in 33 cases.Results: 125 stents were implanted into 183 lesions, including 101 stents for De nove stenting, 18 stents were implanted for suboptimal results after PTCA.2 stents were implanted for bail-out stenting and 3 stents were implanted in restenosis lesions. The mean diameter of stents were 3.00+ 0.69mm, the mean length were 18.15 + 10.26mm. Success rate was 98.4 % and major complication rate was 1.6%. Conclusion: Intracoronary stent is a safe and effective interventional procedure. It has a high success rate and few complications for treating CHD.
Keywords:Coronary artery   Coronary heart disease   Intracoronary stent
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