摘要
目的:探讨基于双源CT的血流储备分数对冠心病患者经皮冠状动脉介入治疗(PCI)的指导作用。方法:选取2022年1月至2022年6月入院的68例冠心病患者为研究对象,进行回顾性研究。对照组34例病人依据冠状动脉造影决定进行PCI,研究组34例病人根据双源CT获取的血流储备分数决定进行PCI。对比两组患者一般资料、病变血管长度、支架植入数目、住院费用、不良反应发生率等差异。结果:两组患者年龄、吸烟史、糖尿病、高胆固醇血症及心绞痛分级等一般资料差异无统计学意义(P>0.05);治疗后,研究组PCI术中支架植入数量及住院费用显著少于对照组,且病变血管长度显著短于对照组(P<0.05)。随访6个月,研究组不良反应发生率低于对照组(17.65%vs 58.82%,P<0.05)。结论:基于双源CT的血流储备分数指导PCI,能够减少支架植入数目和住院费用,降低心血管不良反应发生率。
Objective To explore the application of dual-source CT derived fractional flow reserve(FFR) for percutaneous coronary intervention(PCI) in patients with coronary heart disease.Methods A retrospective study was conducted on 68coronary heart disease patients admitted from January 2022 to June 2022.Whether PCI was carried out was dependent on coronary angiography in control group(n=34) and dual-source CT derived FFR in research group(n=34).The two groups were compared for general data,length of diseased blood vessels,number of stents,hospitalization expenses and incidence of adverse reactions.Results The differences in age,smoking history,diabetes,hypercholesterolemia and angina pectoris between two groups were trivial(P>0.05).After treatment,research group had less number of stents,lower hospitalization costs,and shorter diseased blood vessels than control group(P<0.05).The 6-month follow-up showed that the total incidences of adverse reactions in research group and control group were 17.65% and 58.82%(P<0.05).Conclusion Using dual-source CT derived FFR to guide PCI can reduce the number of stents and hospitalization costs,and lower the incidence of cardiovascular adverse reactions.
作者
罗焕
曹成瑛
毛嘉怡
杨陵武
LUO Huan;CAO Chengying;MAO Jiayi;YANG Lingwu(Department of Radiology,Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital,Xining 810012,China)
出处
《中国医学物理学杂志》
CSCD
2024年第11期1370-1373,共4页
Chinese Journal of Medical Physics
基金
青海省卫健委卫生科研课题(2022-wjzdx-53)。
关键词
冠心病
双源CT
血流储备分数
经皮冠状动脉介入治疗
coronary heart disease
dual-source CT
fractional flow reserve
percutaneous coronary intervention
