关键词：血管成形术，经腔，经皮冠状动脉；冠状动脉疾病
【摘要 】 目的 评价老年冠心病患者经皮冠状动脉(冠脉)腔内血管成形术(PTCA)的临床疗效。 方法 将236例老年(共297支冠脉血管)和360例非老年(共451支冠脉血管)冠心病患者接受PTCA的结果作对比分析。 结果 老年患者的冠脉病变特点和发病血管支数与非老年患者差异无显著性；老年组血管扩张病例成功率为95.4%,随着近年冠脉内支架置入率的增加,主要的PTCA并发症较前降低；以上结果与非老年组比较差异均无显著性。 结论 对于老年冠心病患者，PTCA是一种有效而安全的冠脉血运重建方法。
Percutaneous transluminal coronaryangioplasty in senile patients with coronary heart disease
HUO Yong, GAO Wei, CHEN Xing，et al.Departmentof Cardiology, the First Hospital of Beijing Medical University, Beijing 100034
【Abstract 】 Objective Toevaluate the outcome of percutaneous transluminal coronary angioplasty (PTCA) in senilepatients with coronary heart disease. Methods The results of PTCA in236 cases (297 vessels) of senile patients who received the procedure from 1994 to 1997were analysed and compared with those in 360 cases (451 vessels) of a non-senile group.Results There were not much angiographic difference between thesenile and non-senile group. The clinical success rate of PTCA in senile group was 95.4%which was comparable with a rate of 94.7% in the non-senile patients. With the increase ofcases of stent implantation in recent years, the overall frequency of major complicationswere less than before in both groups and procedure failure rate was decreased year byyear.The results did not differ significantly from those obtained in non-senile group.Conclusions Itis effective and safe for senile patients to receive PTCA procedure.
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