经皮冠状动脉介入在冠心病诊治中应用的认识

Preliminary experience of the percutaneous coronary intervention in the diagnos is and treatment of coronary artery disease

目的:总结经皮冠状动脉介入在冠心病诊断和治疗中的临床应用初步经验。方法:选择2003年9月～2004年3月收治的接受经皮冠状动脉介入手术患者16例,采用Judkins法冠状动脉造影,管腔狭窄≥50%为冠状动脉病变。狭窄≥75%者施行PTCA和支架术。术后随访心血管事件的发生和生活质量改善。结果:16例中管腔狭窄≥50%病变者10例,其中1支病变者5例,2支病变者3例,3支病变者2例。5例施行PTCA和支架术,1例支架置入后3个月再发胸痛,为支架内再狭窄行切割球囊术后症状好转。无手术相关并发症,术后4例无心血管事件发生及生活质量明显改善。结论:选择性冠脉造影术是诊断冠心病可靠的方法,PTCA和支架术后患者胸痛复发减少,生活质量明显提高。

Objective To summarize the preliminary experience of using the per cu tanous coronary intervention in the diagnosis and treatment of coronary artery d isease. Methods Totally 16 cases of coronary heart disease received the percutan ous coronary intervention in our hospital from September 2003 to Match 2004. Jud kins method was used to do the angiogram. The stenosis more than ≥50%of diamet er as coronary artery disease. If the stenosis was more than ≥75%of diameter, PTCA and stenting were done. The cardiac events and live quality were fellowed-up. Results The stenosis more than ≥50%of diameter were seen in 10 cases. 5 pa tients had one vessel disease,3 cases with two vessels disease,and 32cases wit h triple vessels disease. 5 patients received PTCA and stenting. No cardiac even ts took place and the live quality improved after intervention in all cases exce pt one had recurrent angina 3 months later after stenting. Conclusion Coronary a ngiogram is a reliable method to diagnose coronary heart disease. PTCA and stent ing may reduce the recurrent of angina and improve the live quality in coronary heart disease patient.