冠心病冠状动脉支架置入术治疗(摘要)

中国循环杂志 1999年第0期第14卷 摘要　冠心病介入治疗

作者：周兰清　喻卓　叶青　潘家华　杨源　张瑞云　蒋志坚　曹晶茗

单位：云南省昆明市，昆明医学院第一附属医院　心内科(650032)

　　目的：评价冠状动脉支架置入术治疗冠心病效果。

　　方法：44例冠心病患者，男37例，女7例，年龄34～74岁。不稳定性心绞痛30例，劳力型心绞痛11例，急性心肌梗塞(AMI)3例。心功能1～2级30例，3级14例，左心室造影射血分数0.36～0.92(平均0.56)。单支病变9例，双支病变19例，三支病变16例，血管狭窄70%～100%。左心室造影射血分数0.36～0.92(平均0.54)。A型病变5例，B型病变19例，C型病变20例。

　　结果：53支血管置入63个血管支架(简称支架)61个获得成功，手术成功率96.8%。在经皮冠状动脉腔内成形术效果不满意时置入支架，32支前降支(LAD)血管置入36个，11支右冠状动脉(RCA)置入15个，8支回旋支(CX)10个，2支钝缘支2个，显示较好临床效果。

　　结论：冠状动脉支架置入术对冠心病是一种很好的治疗方法。

Primary Experience with Coronary Stenting in Patients with Coronary Artery Disease (Abstract)

　　Department of Cardiology, The First Affiliated Hospital, Kunming Medical College, Kunming (650032), Yu′nan

　　Zhou Lanqing, Yu Zhuo, Ye Qing, et al.

　　Objective: To investigate the outcome of intracoronary stenting for patients with coronary artery disease.

　　Methods: Sixty-one different kinds of stents were implanted in 53 vessels of 44 cases with coronary artery disease during percutaneous transluminal coronary angioplasty from October 1996 to February 1999. There were 32 LAD, 11 RCA, 8 LCX and 2 obtuse margin artery lesions, and they were classified as 5 type A, 19 type B and 20 type C, LVEF were 36%～92% (mean 54%).

　　Results: Except two procedural failures, 61 stents were implanted successfully, the succsess rate was 96.8%.

　　Conclusion: Intracoronary stenting is a safe and effective therapeutic method.