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目的比较经桡动脉与股动脉途径行冠状动脉介入治疗老年女性冠心病的时间、治疗成功率和并发症。方法回顾性分析80例行介入治疗的60岁以上的老年女性冠心病患者资料,其中经桡动脉介入(transra-dial coronary intervention,TRI)组40例,经股动脉介入(transfemoral coronary intervention,TFI)组40例。随访30d,观察两组穿刺成功率、手术成功率及并发症。结果两组患者手术成功率相似(95%及97.5%,P=0.556);经皮冠状动脉介入治疗时间分别为(61±16)min与(61±10)min,两组间差异无显著性(P=0.999)。但TRI组的术后并发症及住院时间显著低于TFI组。结论经桡动脉途径与股动脉途径介入治疗冠状动脉病变时间及成功率相似,但前者术后并发症明显减少。
Objective To compare the time of treatment of coronary heart disease (CHD) by coronary artery in the radial artery and femoral artery and the success rate and complications of the treatment. Methods The data of 80 elderly patients with coronary heart disease over 60 years of age who underwent interventional therapy were retrospectively analyzed. Among them, 40 cases were treated with trans-dial coronary intervention (TRI) Group of 40 cases. After 30 days of follow-up, the puncture success rate, operation success rate and complication were observed. Results The success rate of operation was similar between the two groups (95% and 97.5%, P = 0.556). The time of percutaneous coronary intervention was (61 ± 16) min and (61 ± 10) min, respectively. There was no significant difference between the two groups (P = 0.999). However, postoperative complications and hospital stay in the TRI group were significantly lower than those in the TFI group. Conclusion The time and success rate of transcatheter arterial approach and femoral artery intervention for coronary artery disease are similar, but the complication of the former is obviously reduced.