应用经皮冠状动脉腔内成形术治疗冠状动脉病变(摘要)
作者：黎辉 温尚煜 王丽娜 孙志奇 李秋波
单位：黑龙江省，大庆市油田总医院 心内科(112011)
关键词：
中国循环杂志99zk27 目的：观察经皮冠状动脉腔内成形术(PTCA)治疗冠状动脉病变的效果。
方法：对136例冠心病病人的160处病变进行了PTCA，PTCA按Gruentzig报告的方法进行。
结果：136例患者中，稳定性心绞痛37例、不稳定性心绞痛28例、急性心肌梗塞恢复期35例、陈旧性心肌梗塞29例、急性心肌梗塞7例。单支病变66例、2支病变43例、3支病变27例。总病变数233处，其中治疗病变160处，治疗的病变位于左前降支(LAD)76处、回旋支(LCX)26处、右冠状动脉(RCA)34处；A型病变33处、B型86处、C型41处。本组136例PTCA病人，成功126例，总成功率为92.6%。160处病变成功扩张150处，成功率为93.8%;扩张前平均狭窄程度为(87.8±12.9)%,扩张后平均狭窄程度为(9.2±22.7)%。在136例病人中，102例病人置入了冠状动脉内支架，有120支血管共置入了133个冠状动脉内支架。10例失败病例中7例为导丝未通过慢性闭塞病变；2例出现非Q波心肌梗塞；1例死亡。有19例出现症状再发，其中9例再次冠状动脉造影后证实为再狭窄，2例造影结果正常。
, 百拇医药
结论：PTCA术疗效好、创伤小、成功率高，是治疗冠心病的有效方法。
Treatment of Coronary Heart Disease with Percutaneous Transluminal Coronary Angioplasty (Abstract)
Division of Cardiology, The General Hospital of Daqing Oil Field, Daqing (112011), Heilongjiang
Li Hui, Wen Shangyu, Wang Li′na, et al.
Objective: To observe the results of treatment of coronary artery disease with percutaneous transluminal coronary angioplasty (PTCA).
, http://www.100md.com
Methods: PTCA was used in 136 cases with coronary heart disease (CHD) of 160 lesions according to the method reported by Adnreas Gruentzig.
Results: Among these cases, 37 were of stable angina, 28 of unstable angina, 29 of old myocardial infarction (OMI), 35 of acute myocardial infarction (AMI) in restoring period and 7 of AMI. There were 66 cases with single-, 43 with double and 27 with three- vessel disease. The total lesion number in these cases was about 233, among them 160 lesions were treated with PTCA, including 76 located in LAD, 26 in LCX and 34 in RCA. There were 33 cases with type A, 86 with type B and 41 with type C lesions. PTCA was done successfully in 126 cases, the total success rate was 92.6%; 150 out of 160 lesions were dilated successfully, the success rate was 93.8%. The average narrow rate was (87.8±12.9)% before dilation, and decreased to (9.2±22.7)% after dilation. On hundred and two cases were implanted 133 coronary stents in 120 vessels. Ten PTCA cases were failed because of the gudewire could not be passed through chronic total occlusion in 7, the non-Q-wave AMI occurred in 2, and died in 1. 19 cases had reoccurrence of ischemic syndromes after PTCA, with 9 of restenoses and 2 of normal by angiography.
Conclusion: PTCA is an effective procedure to treat CHD with a good result, high success and low complications., http://www.100md.com
单位：黑龙江省，大庆市油田总医院 心内科(112011)
关键词：
中国循环杂志99zk27 目的：观察经皮冠状动脉腔内成形术(PTCA)治疗冠状动脉病变的效果。
方法：对136例冠心病病人的160处病变进行了PTCA，PTCA按Gruentzig报告的方法进行。
结果：136例患者中，稳定性心绞痛37例、不稳定性心绞痛28例、急性心肌梗塞恢复期35例、陈旧性心肌梗塞29例、急性心肌梗塞7例。单支病变66例、2支病变43例、3支病变27例。总病变数233处，其中治疗病变160处，治疗的病变位于左前降支(LAD)76处、回旋支(LCX)26处、右冠状动脉(RCA)34处；A型病变33处、B型86处、C型41处。本组136例PTCA病人，成功126例，总成功率为92.6%。160处病变成功扩张150处，成功率为93.8%;扩张前平均狭窄程度为(87.8±12.9)%,扩张后平均狭窄程度为(9.2±22.7)%。在136例病人中，102例病人置入了冠状动脉内支架，有120支血管共置入了133个冠状动脉内支架。10例失败病例中7例为导丝未通过慢性闭塞病变；2例出现非Q波心肌梗塞；1例死亡。有19例出现症状再发，其中9例再次冠状动脉造影后证实为再狭窄，2例造影结果正常。
, 百拇医药
结论：PTCA术疗效好、创伤小、成功率高，是治疗冠心病的有效方法。
Treatment of Coronary Heart Disease with Percutaneous Transluminal Coronary Angioplasty (Abstract)
Division of Cardiology, The General Hospital of Daqing Oil Field, Daqing (112011), Heilongjiang
Li Hui, Wen Shangyu, Wang Li′na, et al.
Objective: To observe the results of treatment of coronary artery disease with percutaneous transluminal coronary angioplasty (PTCA).
, http://www.100md.com
Methods: PTCA was used in 136 cases with coronary heart disease (CHD) of 160 lesions according to the method reported by Adnreas Gruentzig.
Results: Among these cases, 37 were of stable angina, 28 of unstable angina, 29 of old myocardial infarction (OMI), 35 of acute myocardial infarction (AMI) in restoring period and 7 of AMI. There were 66 cases with single-, 43 with double and 27 with three- vessel disease. The total lesion number in these cases was about 233, among them 160 lesions were treated with PTCA, including 76 located in LAD, 26 in LCX and 34 in RCA. There were 33 cases with type A, 86 with type B and 41 with type C lesions. PTCA was done successfully in 126 cases, the total success rate was 92.6%; 150 out of 160 lesions were dilated successfully, the success rate was 93.8%. The average narrow rate was (87.8±12.9)% before dilation, and decreased to (9.2±22.7)% after dilation. On hundred and two cases were implanted 133 coronary stents in 120 vessels. Ten PTCA cases were failed because of the gudewire could not be passed through chronic total occlusion in 7, the non-Q-wave AMI occurred in 2, and died in 1. 19 cases had reoccurrence of ischemic syndromes after PTCA, with 9 of restenoses and 2 of normal by angiography.
Conclusion: PTCA is an effective procedure to treat CHD with a good result, high success and low complications., http://www.100md.com