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关于单支架处置冠状动脉分叉病变时不同策略的临床研究

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目的:探讨单支架处置["拘禁"球囊技术(JBT)、边支导丝保护(KIO)技术]在冠状动脉分叉病变治疗中的效果.方法:选取2021年7月~2023年7月到广西桂东人民医院接受治疗的冠状动脉分叉病变患者120例为此次实验研究对象,随机进行有效分组处理,观察组与常规组,观察组患者实施"拘禁"球囊技术(JBT)治疗,常规组患者实施边支导丝保护(KIO)技术治疗,之后对两组患者治疗效果进行对比分析.结果:对两组患者不良事件进行对比分析后可知,观察组患者不良事件总发生率低于常规组(P<0.05);对两组患者病变特点进行对比分析后可知,观察组患者病变特点优于常规组(P<0.05);对两组患者术中情况进行对比分析后可知,观察组患者手术时间、放射线曝光时间以及对比剂用量等均优于常规组(P<0.05);对两组患者术后并发症进行对比分析后可知,观察组患者并发症总发生率低于常规组(P<0.05).结论:在冠状动脉分叉病变患者的治疗中,实施"拘禁"球囊技术治疗的效果较为理想.
Clinical Studies of Different Strategies in Single Stent Management of Coronary Bifurcation Lesions
Objective:To explore the effect of single stent treatment[detention balloon technique(JBT)and collateral guide wire protection(KIO)]in the treatment of coronary bifurcation lesions.Methods:120 patients with coronary bifurcation lesions who were treated in Guangxi Guidong People's Hospital from July 2021 to July 2023 were selected as the research objects,and were randomly divided into two groups.The observation group and the routine group were treated with"detention"balloon technique(JBT),while the routine group was treated with collateral guide wire protection(KIO),and then the treatment effects of the two groups were compared and analyzed.Results:After comparing and analyzing the adverse events of the two groups,it was found that the total incidence of adverse events in the observation group was lower than that in the routine group(P<0.05).After comparing and analyzing the pathological features of the two groups,we can know that the pathological features of the patients in the observation group are better than those in the routine group(P<0.05).After comparing and analyzing the intraoperative conditions of the two groups,we can know that the operation time,radiation exposure time and contrast agent dosage of the observation group are better than those of the routine group(P<0.05).After comparing and analyzing the postoperative complications of the two groups,we can know that the total incidence of complications in the observation group is lower than that in the routine group(P<0.05).Conclusion:In the treatment of patients with coronary bifurcation lesions,the effect of"detention"balloon technique is ideal.

single stent disposalcoronary bifurcation lesionsdifferent strategiesclinicalstudy

陈志明

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广西桂东人民医院 (广西 梧州 543000)

单支架处置 冠状动脉分叉病变 不同策略 临床 研究

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)