摘要
目的研究改良Y型支架植入术治疗冠状动脉分叉病变的临床价值。方法56例冠状动脉分叉病变患者作为研究对象,利用Excel函数法分为对照组和实验组,各28例。对照组实施reverse crush支架植入术治疗,实验组实施改良Y型支架植入术治疗。比较两组各项指标(手术时间、X射线曝光时间、球囊用量、造影剂用量、边支直径再狭窄率、主支直径再狭窄率),术中、术后各项指标(心脏不良事件发生情况、球囊对吻成功率、主支再狭窄率、边支再狭窄率)。结果实验组手术时间(60.49±19.56)min、X射线曝光时间(41.32±11.25)min均短于对照组的(81.56±20.23)、(59.67±15.72)min,球囊用量(1.41±0.43)个、造影剂用量(184.32±20.63)ml均少于对照组的(2.68±0.55)个、(223.56±27.19)ml,边支直径再狭窄率(25.53±8.41)%低于对照组的(31.49±10.87)%,差异有统计学意义(P<0.05)。实验组主支直径再狭窄率(16.76±6.23)%低于对照组的(17.72±6.51)%,但差异无统计学意义(P>0.05)。实验组心脏不良事件发生率3.57%、边支再狭窄率10.71%、主支再狭窄率0均低于对照组的25.00%、42.86%、21.43%,球囊对吻成功率100.00%高于对照组的85.71%,差异有统计学意义(P<0.05)。结论改良Y型支架植入术治疗冠状动脉分叉病变的临床价值显著,可提升治疗质量、治疗效率、治疗安全性。
Objective To study the clinical value of modified Y-shaped stent implantation on patients with coronary artery bifurcation lesion.Methods A total of 56 patients with coronary arter bifurcation lesions were selected as the research subjects,and they were divided into the control group and the experimental group by using the Excel function method,with 28 cases in each group.The control group received reverse crush stent implantation,and the experimental group received modified Y-shaped stent implantation.Both groups were compared in terms of indexes(operation time,X-ray exposure time,number of balloon used,contrast agent dosage,restenosis rate of side branches diameter and restenosis rate of main branches diameter),intraoperative and postoperative indicators(occurrence of adverse cardiac events,successful rate of balloon kissing,restenosis rate of the main branch,and restenosis rate of side branch).Results The operation time(60.49±19.56)min and X-ray exposure time(41.32±11.25)min in the experimental group were shorter than(81.56±20.23)and(59.67±15.72)min in the control group;the number of balloon used(1.41±0.43)balloons contrast agent dosage(184.32±20.63)ml were less than(2.68±0.55)balloons,(223.56±27.19)ml in the control group;the restenosis rate of side branch diameter(25.53±8.41)%was lower than(31.49±10.87)%in the control group.All the differences were statistically significant(P<0.05).The restenosis rate of main branch diameter in the experimental group was(16.76±6.23)%,which was lower than(17.72±6.51)%in the control group,but the difference was not statistically significant(P>0.05).The incidence of cardiac adverse events in the experimental group was 3.57%,the restenosis rate of the side branch was 10.71%,and the restenosis rate of the main branch was 0,which were lower than 25.00%,42.86%,and 21.43%in the control group;the success rate of balloon kissing 100.00%was higher than 85.71%in the control group;all the differences were statistically significant(P<0.05).Conclusion Modified Y-shaped stent implantation has significant clinical value in the treatment of coronary artery bifurcation lesion,and can improve the treatment quality,treatment efficiency,and treatment safety.
作者
王建林
WANG Jian-lin(Shandong Dongying Hospital of Traditional Chinese Medicine(Shengli Hospital),Dongying 257100,China)
出处
《中国实用医药》
2022年第19期74-77,共4页
China Practical Medicine
