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目的:探讨直接冠状动脉内支架术治疗冠心病(CHD)疗效。方法:对121例CHD置入冠脉内支架的连续观察病例进行分析。结果:121例CHD患者中,梗塞相关血管为左前降支72例,左回旋支17例,右冠状动脉32例。共置入3种支架合计121个。术后残余狭窄程度由术前78.3%±6.7%降至术后2.45%±5.96%。手术成功率98.34%。结论:在所选择的患者中,直接冠状动脉内支架治疗是有效的,早期效果好而且可降低再梗塞发生率,并明显减少再次的靶血管血运重建。
Objective: To investigate the efficacy of direct coronary stenting in the treatment of coronary heart disease (CHD). Methods: A consecutive series of 121 cases of CHD with coronary stent were analyzed. Results: Among the 121 CHD patients, infarct-related blood vessels were found in 72 cases of left anterior descending artery, 17 cases of left circumflex artery and 32 cases of right coronary artery. A total of three kinds of stent into a total of 121. The degree of residual stenosis decreased from 78.3% ± 6.7% before surgery to 2.45% ± 5.96% after operation. Surgical success rate was 98.34%. CONCLUSIONS: Direct coronary stenting was effective in selected patients with early outcomes and reduced the incidence of reinfarction and significantly reduced re-target revascularization.