许盛松 邱云章 潘靖

【摘要】 目的：观察支架精显技术（CSL）指导下冠状动脉支架植入的治疗效果。方法：回顾性分析上饶市人民医院2020年3月—2022年3月收治的80例冠心病患者的临床资料，根据治疗方式的不同将其分为CSL组（n=46）和对照组（n=34）。对照组接受常规冠状动脉支架植入术治疗，CSL组接受CSL指导下冠状动脉支架植入治疗。比较两组围手术期基本情况（手术时间、住院时间、支架植入成功率）及治疗效果（左室收缩功能、心脏指数、心率），对比两组手术并发症发生率及术后再狭窄发生率。结果：CSL组手术时间、住院时间均短于对照组（P<0.05）；两组支架植入成功率比较，差异无统计学意义（P>0.05）。治疗后，两组左室收缩功能、心脏指数较术前均有升高，心率较术前均有降低（P<0.05），但两组左室收缩功能、心脏指数、心率比较，差异均无统计学意义（P>0.05）。两组手术并发症发生率比较，差异无统计学意义（P>0.05）。术后3、6、12个月，两组术后再狭窄发生率比较，差异无统计学意义（P>0.05）；术后18个月，CSL组术后再狭窄发生率低于对照组，差异有统计学意义（P<0.05）。结论：CSL指导下冠状动脉支架植入治疗冠心病效果显著，且手术安全性较高，术后再狭窄发生率较低。

【关键词】 支架精显技术 冠状动脉支架植入 冠心病

Analysis of Therapeutic Effect of Coronary Stent Implanting under the Guidance of Clear Stent Live/XU Shengsong， QIU Yunzhang， PAN Jing. //Medical Innovation of China， 2024， 21（13）： -143

[Abstract] Objective： To observe the therapeutic effect of coronary stent implanting under the guidance of clear stent live （CSL）. Method： Clinical data of 80 patients with coronary artery heart disease admitted to Shangrao People's Hospital from March 2020 to March 2022 were retrospectively analyzed， and they were divided into CSL group （n=46） and control group （n=34） according to different treatment methods. The control group received conventional coronary stent implanting， and the CSL group received coronary stent implanting under the guidance of CSL. The perioperative conditions （operation time， hospital stay， success rate of stent implantation） and therapeutic effect （left ventricular systolic function， heart index， heart rate） were compared between the two groups， and the incidence of surgical complications and postoperative restenosis were compared between the two group. Result： The operation time and hospital stay in CSL group were shorter than those in control group （P<0.05）. There was no significant difference in the success rate of stent implantation between the two groups （P>0.05）. After treatment， left ventricular systolic function and heart index were increased in both groups compared with those before surgery， and the heart rate were decreased in both groups compared with those before surgery （P<0.05）， but there were no statistical significances in left ventricular systolic function， heart index and heart rate between the two groups （P>0.05）. There was no significant difference in the incidence of surgical complications between the two groups （P>0.05）. At 3， 6 and 12 months after surgery， there were no significant differences in the incidence of restenosis between the two groups （P>0.05）. 18 months after surgery， the incidence of restenosis in CSL group was lower than that in control group， the difference was statistically significant （P<0.05）. Conclusion： Coronary stent implanting under the guidance of CSL is effective in the treatment of coronary artery heart disease， and the operation safety is high， and the incidence of postoperative restenosis is low.

[Key words] Clear stent live Coronary stent implanting Coronary artery heart disease

First-author's address： Department of Cardiology Ⅰ， Shangrao People's Hospital， Shangrao 334000， China

doi：10.3969/j.issn.1674-4985.2024.13.032

冠状动脉支架植入术是治疗冠心病患者最有效的介入治疗手段[1]，通过冠状动脉造影技术，确定冠状动脉狭窄或闭塞病灶，然后使用特殊导管、导丝，将合适型号的支架送至病灶处，加压扩张球囊，支撑血管，恢复心脏血流通畅，增加患者心肌血供[2-3]。但由于常规冠状动脉造影所得影像不够精确，无法清晰显示细小管腔直径、支架位置和支架扩张状态，对手术技术要求往往较高[4]，且随着支架技术的逐渐精细，常规显影已存在一定局限，给临床治疗工作带来了一定困难[5-6]。同时相关……