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目的 探讨冠心病 (CHD)冠脉内支架植入术 (ICS)治疗的技术方法和疗效。方法 冠心病患者 41例 (47支狭窄的冠脉 ,均行经皮冠状动腔内成形术 (PTCA)之后置入支架 5 0枚 ,均为denovo支架植入。结果 84%A型病 ,14%B型病变 ,2 %C型病变 ,5 0枚支架全部植入成功 ,无一例发生支架血栓形成和严重出血并发症。术后随访 10个月～ 4年 ,仅 1例心绞痛复发 ,经冠脉造影(CAG)证实支架部位无狭窄 ,为支架远端血管病变加重所致。结论 初步结果表明 ,denovo支架植入是治疗冠心病的有效方法。
Objective To investigate the technique and efficacy of coronary stent implantation (ICS) in patients with coronary heart disease (CHD). Methods Fifty-one patients (47 stenotic coronary arteries) underwent percutaneous transluminal coronary angioplasty (PTCA) were enrolled in this study.All patients were enrolled in the denovo stent.Results A total of 84% of patients with type A disease, 14% B type lesions, 2% C type lesions, 50 stents were implanted successfully, and no stent thrombosis occurred and severe bleeding complications were followed up for 10 months to 4 years, only 1 case of recurrent angina, coronary artery Angiography (CAG) confirmed that there was no stenosis at the stent site, which was attributed to the aggravation of the distal vascular disease.Conclusion The preliminary results show that denovo stent implantation is an effective method for the treatment of coronary heart disease.