首页|冠状动脉造影下拘禁球囊技术与拘禁导丝技术在冠状动脉分叉病变患者治疗中的应用效果

冠状动脉造影下拘禁球囊技术与拘禁导丝技术在冠状动脉分叉病变患者治疗中的应用效果

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目的 探究冠状动脉造影下拘禁球囊技术(JBT)与拘禁导丝技术(JWT)在冠状动脉分叉病变患者治疗中的应用效果.方法 选取 2020 年 8 月至 2023 年 8 月医院行冠状动脉分叉治疗手术的 100 例患者,根据随机数字表法分为对照组与试验组,每组 50 例.所有患者均行冠状动脉造影检查,试验组采用JBT治疗,对照组采用JWT治疗.比较两组术后血管造影情况、术中并发症发生情况、手术情况和治疗效果.结果 术后,试验组边支最小血管直径大于对照组,分叉角度小于对照组,差异有统计学意义(P<0.05);试验组慢血流和边支严重影响发生率低于对照组,差异有统计学意义(P<0.05);试验组造影剂输入量、支架置入数量、受照射剂量和手术时间均少于对照组,差异有统计学意义(P<0.05);两组主支血管残余狭窄率比较,差异无统计学意义(P>0.05);试验组边支血管残余狭窄率低于对照组,差异有统计学意义(P<0.05).结论 冠状动脉分叉病变患者采用冠状动脉造影下JBT治疗,可更好地保护血管形态与功能,减少造影剂、支架用量及手术时间,降低受照射剂量及术中并发症发生风险.
The Application Effect of Jailed Balloon Technique and Jailed Wire Technique Under Coronary Angiography in the Treatment of Patients with Coronary Bifurcation Lesions
Objective To explore the application effect of jailed balloon technology and jailed wire technology under coronary angiography in the treatment of patients with coronary bifurcation lesions.Methods With the selection of 100 patients who underwent coronary bifurcation treatment surgery in hospitals from August 2020 to August 2023,they were randomly divided into the control group and the experimental group,by using the random number table method,with 50 patients in each group.With all patients undergoing coronary angiography examination,and the use of jailed balloon technology for treatment in the experimental group and jailed wire technology in the control group,the coronary angiography before and after operation,the occurrence of intraoperative complications,the operation and the treatment effect were compared between the two groups.Results After surgery,the smallest vessel diameter of the side branch in the experimental group was larger than that in the control group,and the bifurcation angle was smaller than that in the control group,with statistical significance(P<0.05);The incidence of slow blood flow and severe side branch effects in the experimental group was lower than that in the control group,with statistical significance(P<0.05);The amount of contrast agent input,the number of stent placement,radiation dose and operation time of experimental group were lower than those of control group,with statistical significance(P<0.05);There was no statistically significant difference in the residual stenosis rate of the main branch vessels between the two groups(P>0.05);The residual stenosis rate of side branch vessels in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment of patients with coronary bifurcation lesions by jailed balloon technique under coronary angiography can better protect the shape and function of blood vessels,reduce the use of contrast agents and stents,and surgery time,as well as reduce radiation dose and the risk of intraoperative complications.

Coronary angiographyJailed Balloon TechniqueJailed Wire TechniqueCoronary bifurcation lesions

羊敏俊、林江波、江建军

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浙江省台州医院 (浙江台州 317000)

冠状动脉造影 拘禁球囊技术 拘禁导丝技术 冠状动脉分叉病变

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(10)
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