韩立宪,颜利求,曹绪芬,袁琛,王刚,赵荣诚,韩佳

• 1:河北省沧州市中心医院心内一科
• 2:河北省沧州市中心医院心内一科

摘要(Abstract)：

目的探讨经桡动脉行冠状动脉造影术和血管成形术的可行性、安全性和成功率。方法回顾我院1495例经桡动脉行冠状动脉造影术和694例经桡动脉行冠状动脉血管成形术患者,并以406例经股动脉行冠状动脉血管成形术患者作为对照,记录患者基本情况和临床资料。结果经桡动脉行冠状动脉造影术的成功率为95.3%,经桡动脉行冠状动脉血管成形术的成功率为97.3%。经桡动脉冠状动脉血管成形术组手术成功率与经股动脉组(96.7%)差异无统计学意义(P>0.05),但手术操作时间、X线照射时间较经股动脉组长(54.9±15.2min比40.1±10.6min,P<0.05;20.2±8.3min比15.1±6.5min,P<0.01)、造影剂用量较经股动脉组多(165.2±30.7mL比143.5±25.1mL,P<0.01)。大部分(94.5%)患者未出现任何并发症。结论经桡动脉行冠状动脉造影术和血管成形术虽然手术操作时间和X线照射时间长,造影剂用量多,但手术成功率高、并发症少,具有临床可行性和安全性。

关键词(KeyWords)： 冠状血管造影术;血管成形术,经腔,经皮冠状动脉;桡动脉

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 韩立宪,颜利求,曹绪芬,袁琛,王刚,赵荣诚,韩佳

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