开展经皮冠状动脉成形术前后冠状动脉造影临床应用对比

The Contrast of Clinical Use before and after the Coronary Angiography with the Development of Percutaneous Transluminal Coronary Angioplasty.

目的:了解在开展冠状动脉成形水(PTCA)前后冠脉造影在年龄、性别、冠脉病变种类、冠脉粥样硬化情况及其造影适应症等方面的变化.方法:采用回顾性资料分析方法,比较上海中山医院开展PTCA前134例(A组)和开展PTCA后440例(B组)冠脉造影资料上述指标问的差别.结果:(1)60岁以上造影者B组明显高于A组(P<0.05),且B组年龄跨度大于A组.(2)急性心梗冠脉造影者乃明显高于A组(P<0.05),其中B组急诊冠脉造影占18.29%,心梗后早期冠脉造影占28.05%;陈旧性心梗A组明显高于B组(P<0.05).诊断性冠脉造影两组无差别(P>0.05).(3)冠脉病变A组以单支、简单的A型病变为主,B组以多支复杂的B型和C型多见(P<0.05).结论:开展PTCA之后冠脉造影例数显著增加,造影年龄跨度增加12岁,平均年龄上升6.7岁;60岁以上老年人所占比例提高26.05%,冠脉造影适应症较前扩大,但病变阳性率并未下降,冠脉病变趋向多支、复杂的B型和C型.

Purpose: This article is designed to find out the change in age, sex, the kind of coronary arterial disease, the circumstances of atherosclerosis about coronary artery and its indication of coronary angiography before and after the development of percutaneous transluminal coronary an-gioplasty (PTCA).Methods We made retrospctive survey study. in contrast to the difference of these items about the meterial of the research of coronary angiography. We choose those patients from Zhong Shan Hospital, Shanghai, the 134 cases without the development of PTCA (group A) and the 440 cases after the practice of PTCA (group B).Result: 1) Above sixties The coronary angiography (group B) is much higher than group A (P<0. 05 ) and the age span of group B is larger than group A. 2) People with the coronary angiography of acute myocardiac infarction are much higher than group A (P<0. 05 ), among them there are the percentage of 18. 29 of emergency treatment of the coronary angiography, per-centaage of 28. 05 of the early emergency treatment of the coronary angiography after cardiac infarction, remote myocardial infarction of group A is much higher than group B (P<0. 05). There is no difference between the dignosis of the coronary angiography of those group (P>0. 05). 3) The coronary disease of group A is the majoraty of mono branch simple disease of group A, Group B can often be seen from multibranch complexity of pattern B and C (P<0. 05).Conclusion: The cases increase highly after the development of PTCA, the age span of the coronary angiography increase to 12 years old. The average age rises to 6. 7, the percentage of old people above sixties is mount up to 26. 05 percent, the indication of the coronary angiography is eularged. but the positive of the disease decreased no more. The disease of coronary gose to the multi-branch complexity of patten B and C.