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冠状动脉小血管支架植入的临床探讨

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目的:对发生冠状动脉小血管病变的患者的临床特点以及采用小支架植入治疗措施、效果进行探讨、分析,积累临床经验。方法随机抽取我院自2007年3月至2011年2月收治的冠状动脉血管狭窄患者资料共240例,其中小血管支架组患者96例实施了小血管支架植入手术;大血管支架组的144例患者,实施了大血管支架植入手术;对两组患者之间的手术方法、临床特点、预后等异同进行比较。结果小血管支架植入组成功率为97.78%,大血管支架植入组成功率为99.04%;小血管支架组的患者Ⅱ型糖尿病发病率高于大血管组;手术过程中并发症及在随访期间的预后方面两组之间没有统计学意义上的差异。结论在支架植入的成功率、预后方面,小血管支架组与大血管支架组之间没有统计学意义上的差异,可以在临床上安全应用以治疗冠状动脉小血管狭窄的治疗,以提高患者的生活质量。
Objective Small-vessel coronary artery disease in patients with clinical characteristics and treatment measures stent implantation using small ,the effect is to explore,analyze,and accumulated clinical experience.Methods Randomly selected hospital from March 2007 to February 2011 were treated coronary artery stenos is Total 240 cases,of which a small group of 96 patients the stent implementation of small vessel stent implantation;major vascular stent group 144 patients,the implementa-tion of major vascular stent implantation;between the two groups of patients surgical methods ,clinical features and prognosis compare similarities and differences .Results The composition of small vessel stunting power of 97.78%,major vascular stents composed of 99.04%power;small vessel stent in patients with a high incidence of typeⅡ diabetes group in large vessels;Complications during surgery and during follow -up the prognosis between the two groups was not statistically significant differences . Conclusion The success rate of stent implantation ,prognosis,small group and large vessel stent stents were not statistically significant between the groups ,the differences can be safe in the clinical application of small blood vessels to treat coronary artery stenos is treatment to improve the patient's quality of life.

Coronary artery diseaseStentsVascular implantationClinicalStudy

何野

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辽宁省凌源市中心医院心内科,辽宁 凌源 122500

冠状动脉疾病 支架 血管植入术 临床 探讨

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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