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目的 探讨复杂冠状动脉病变经桡动脉穿刺途径行介入治疗的成功率和并发症。方法 184例复杂冠状动脉病变的冠心病心绞痛患者中 ,经桡动脉穿刺组 4 6例 ,对照组为经股动脉穿刺者 138例 ,观察两组手术成功率、术后并发症等情况。结果 经桡动脉组手术成功率为 92 .2 % ,与经股动脉组 (94 .9% )相比无明显差异 (P>0 .0 5 )。但术后与穿刺有关的并发症发生率 ,经桡动脉组明显少于经股动脉组 (10 .8% vs 2 8.3% ,P<0 .0 5 ) ;术后卧床时间也明显短于经股动脉穿刺组 (P<0 .0 1)。而经桡动脉组从穿刺开始至指引导管放置成功所需的时间长于经股动脉组(P<0 .0 5 )。结论 经选择的冠状动脉复杂病变经桡动脉途径介入治疗具有较高的成功率。经桡动脉途径术后与穿刺有关的并发症发生率低。
Objective To investigate the success rate and complications of interventional treatment of complex coronary lesions by radial artery puncture. Methods Among 184 patients with coronary heart disease complicated with coronary heart disease, 46 cases were treated by radial artery puncture and 138 cases were treated by femoral artery puncture in control group. The success rate and postoperative complications of the two groups were observed. Results The success rate of transradial group was 92.2%, which was not significantly different from that of the femoral artery group (94.9%) (P> 0.05). However, the incidence of postoperative complications related to puncture was significantly lower in the transradial group than in the femoral artery group (10.8% vs 23.3%, P <0.05). The postoperative bed time was also significantly shorter than that in the transradial group Femoral artery puncture group (P <0.01). The transradial group from the start of puncture to guide catheter placement time required for the longer than the femoral artery group (P <0. 05). Conclusion The selected coronary artery complex lesions by radial artery intervention has a high success rate. Transradial approach to puncture-related complications and low incidence.