摘要
目的在冠状动脉分叉病变患者中采用对吻支架术和单支架术治疗,探讨两者临床疗效。方法选取我院心内科2012年6月~2014年12月收治的80例患者作为研究对象,经患者及家属同意,伦理委员会通过,将其随机分为两组。观察组给予对吻支架术治疗,对照组给予单支架术治疗,对比分析两组手术情况、冠状动脉造影情况以及心血管不良事件发生率。结果观察组在手术时间、术后即刻分支血管残余狭窄大于50%发生率、术后一年分支血管TIMI血流3级和分支血管残余狭窄〉50%发生率、术后一年靶病变血运重建发生率和支架内血栓发生率上均优于对照组,差异有统计学意义（P〈0.05）。结论对吻支架治疗可缩短手术时间,虽近期疗效与单支架术差异不大,但远期疗效及心血管不良事件更优。
Objective To explore the clinical effect of kissing stent and single stent in the treatment of coronary bifurcation lesions. Methods 80 patients who were in the cardiology department of our hospital from June 2012 to December 2014 were randomly divided into observation group and control group with the agreement of patients and their families as well as the permission of Chemo Physio therapy committee.The observation group was treated with kissing stent,and the control group was treated with single stent.The operation outcomes,coronary angiography results,and adverse cardiovascular event incidences of the two groups were compared and analyzed. Results In the observation group,the operation time, the 50% rate of immediate postoperative residual branch vessel stenosis,the 50% rates of TIMI 3 branch vessel blood flow and residual branch vessel stenosis in one year after surgery, and the rates of target lesion revascularization and stent thrombosis in one year after surgery were all better than those of the control group,the differences were statistically significant（P 0.05）. Conclusion The operation time can be shortened by using the kissing stent,which surpass the single stent for its long term effect and low adverse cardiovascular events rate,though the short-term effect of the two kinds of stents were the same.
出处
《中国医药科学》
2016年第4期21-23,共3页
China Medicine And Pharmacy
关键词
对吻支架
单支架
冠状动脉分叉病变
Kissing stent
Single stent
Coronary bifurcation lesions
