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目的 :探讨经股动脉和桡动脉途径行冠状动脉支架植入的优缺点。方法 :选择我院 2 0 0 0年 5月到 2 0 0 3年 12月住院 180例行冠状动脉内支架植入术的病人分成股动脉 (5 5例 )和桡动脉 (12 5例 )两组 ,比较其成功率、并发症发生率 ,并进行统计学处理。结果 :手术成功率分别为 98 18%和 99 2 0 % (P >0 0 5 ) ,血管并发症分别为 30 91%和 4 8% (P <0 0 1) (不包括疼痛和导尿等非血管并发症 )。结论 :本研究提示 ,经桡动脉行冠状动脉支架植入不需卧床 ,手术成功率高 ,病人损伤小 ,止血方便 ,血管并发症少 ,节省费用 ,减少X线照射时间。安全、可行、便捷、经济。作者推荐使用桡动脉途径行冠状动脉内支架植入术。
Objective: To investigate the advantages and disadvantages of coronary stent implantation via femoral artery and radial artery. Methods: 180 patients undergoing coronary stenting in our hospital from May 2000 to December 2003 were divided into two groups: femoral artery (55 cases) and radial artery (125 cases) Group, the success rate, complication rate, and statistical analysis. RESULTS: The successful rates of surgery were 98 18% and 99 2 0% respectively (P 0 05), and vascular complications were 30 91% and 48% respectively (P 0 01) (excluding pain and catheterization Non-vascular complications). Conclusion: This study suggests that coronary artery stenting via radial artery does not require bed rest and has a high success rate of operation, less patient injury, convenient hemostasis, less vascular complications, less cost, and less X-ray irradiation time. Safe, feasible, convenient and economical. The authors recommend the use of radial artery coronary stenting.