经皮冠状动脉介入治疗2335例临床分析

Percutaneous Coronary Intervention:A Clinical Analysis of 2335 Cases

目的评价经皮冠状动脉造影、介入治疗对冠心病的疗效及安全性。方法统计并分析2004年7月至2009年6月行经皮冠状动脉造影、介入治疗2335例患者的住院随访资料。结果经股动脉行冠状动脉造影318例,经桡动脉行冠状动脉造影2017例,成功率分别为99.4%、98.5%。经股动脉行冠状动脉介入治疗227例,成功率99.6%,经桡动脉行冠状动脉介入治疗633例,成功率98.4%。围术期发生各种并发症160例(6.85%)。结论经皮冠状动脉介入治疗冠心病临床疗效确切、安全,手术成功率高,并发症少。

Objective To evaluate the safety and effectiveness of percutaneous coronary angiography and percutaneous coronary intervention（PCI）in treatment of coronary heart disease（CAD）.Methods The data of 2335 patients treated with PCI between July 2004 and June 2009 were analyzed.Results The success rate for 318 patients underwent coronary angiography through the femoral artery was 99.4%,and the success rate for 2 017 patients underwent coronary angiography through the radial artery was 98.5%.The success rate for 227 patients underwent PCI through the femoral artery was 99.6%,and the success rate for 633 patients underwent PCI through the radial artery was 98.4%.Perioperative complications occurred in 160 patients（6.85%）.Conclusion PCI is a safe and effective treatment for CAD with a high success rate and a low complication rate.