摘要
目的:探讨血管内超声联合冠脉旋磨术在冠状动脉钙化病变患者中的效果及对心功能指标的影响。方法:选取景德镇市第一人民医院心血管内科2020年6月—2021年6月收治的冠状动脉严重钙化病变患者122例为研究对象,用随机数字表法将患者分成研究组(给予经皮冠状动脉介入治疗和血管内超声下冠脉旋磨术)和对照组(给予经皮冠状动脉介入治疗联合冠脉旋磨术),每组61例。分析对比两组患者的手术成功率、最大球囊压力、血管情况、心功能指标及术后12个月不良事件发生情况。结果:研究组手术成功率为100%,高于对照组的88.52%(P<0.05);术后,研究组残余狭窄率低于对照组,最大球囊压力、最大及最小管腔直径均大于对照组(P<0.05);术后,研究组心功能指标均优于对照组(P<0.05);研究组不良事件发生率低于对照组(P<0.05)。结论:采用血管内超声联合冠脉旋磨术治疗冠状动脉钙化病变患者,能够更加精准的实施手术,显著提升手术成功率,对患者心功能的改善也具有重要的促进意义,是临床治疗钙化病变的可靠方案之一。
Objective:To investigate the effect of intravascular ultra-sound combined with coronary rotational atherectomy in patients with coronary artery calcification lesion and its influence on cardiac function indexes.Method:A total of 122 patients with severe coronary artery calcification lesion admitted to the Department of Cardiology,Jingdezhen NO.1 People's Hospital from June 2020 to June 2021 were selected as the study objects.The patients were divided into study group(was given percutaneous coronary intervention and intravascular ultrasound-guided coronary rotational atherectomy)and control group(was given percutaneous coronary intervention combined with coronary rotational atherectomy)according to random number table method,61 cases in each group.The surgical success rate,maximum balloon pressure,vascular conditions,cardiac function indexes and the occurrence of adverse events 12 months after surgery were analyzed and compared between the two groups.Result:The surgical success rate in the study group was 100%,which was higher than 88.52%in the control group(P<0.05).After surgery,the residual stenosis rate in the study group was lower than that in the control group,maximum balloon pressure,maximum and minimum luminal diameter in the study group were larger than those in the control group(P<0.05).After surgery,the cardiac function indexes of the study group were better than those of the control group(P<0.05).The incidence of adverse events in study group was lower than that in control group(P<0.05).Conclusion:Intravascular ultra-sound combined with coronary rotational atherectomy in the treatment of patients with coronary artery calcification lesion can perform the operation more accurately,significantly improve the surgical success rate,and also have important promoting significance for the improvement of patients'cardiac function,which is one of the reliable clinical treatment of calcification lesions.
作者
鲁谦
王平
龚韧
刘志辉
LU Qian;WANG Ping;GONG Ren;LIU Zhihui(Department of Cardiology,Jingdezhen NO.1 People's Hospital,Jingdezhen 333000,China;不详)
出处
《中国医学创新》
CAS
2024年第4期6-10,共5页
Medical Innovation of China
基金
景德镇市科技计划项目(2020CF2C002)。
关键词
血管内超声
冠脉旋磨术
冠状动脉钙化病变
心功能
Intravascular ultra-sound
Coronary rotational atherectomy
Coronary artery calcification lesion
Cardiac function
