经皮腔内冠状动脉成形术的成功率及影响因素(229例分析)Success Rate and Influence Factors of Percutaneous Transluminal Coronary Angloplasty (Analysis of 229 cases)
高炜,朱国英,霍勇,冯大力,汪丽蕙
摘要(Abstract)：
我院自1987年12月至1992年12月共完成经皮腔内冠状动脉成形术(PTCA)229例次,扩张血管281支、病变331处.成功率分别为93.01%(病例)、93.95%(血管)及94.26%(病变).331处病变中,A型成功率98.44%(63/64)、B型94.95%(207/218)、C型为85.71%(42/49),A型与B型成功率之间无显著性差异(P>0.05),C型与A型间差异显著(P<0.01);完全闭塞和次全闭塞病变成功率为86.67%(39/45),其中B型91.67%(22/24),C型80.95%(17/21).前降支(LAD)成功率95.51%(149/156)、回旋支93.33%(56/60)、右冠状动脉90.77%(59/65),三支血管成功率之间无显著性差异(P>0.05).331处病变PTCA中24处发生较严重血管并发症(7.25%),其中20处经球囊再扩张等处理成功,3例Q波型心肌梗塞,1例死亡.
关键词(KeyWords)： 冠状动脉成形术;球囊扩张;径皮
基金项目(Foundation): “八五”国家科技攻关课题
作者(Author): 高炜,朱国英,霍勇,冯大力,汪丽蕙
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