摘要
目的:分析冠状动脉支架置入后造影复查的影像资料,寻找不同药物支架再狭窄的特点。方法:收集冠状动脉介入治疗后造影复查再狭窄患者121例,共159处病变,进行再狭窄形式分析。结果:裸支架(BMS)和药物支架(DES)后再狭窄病变局限性再狭窄分别占39.80%和70.49%(P<0.001);弥漫性再狭窄病变分别占60.20%和29.51%(P<0.001);三种不同类型DES(Cypher,Taxus和Firebird)再狭窄形式没有差异,局限性再狭窄分别为83.33%,55.56%和75.00%(P=0.070);弥漫性再狭窄分别占16.67%,44.44%和25.00%,(P=0.070)。结论:①DES改变了以往BMS再狭窄模式,由弥漫型转为局限型;②不同种类的药物支架再狭窄形式没有差异。
Objectives：To evaluate the morphology of in-stent restenosis after different kinds of stents. Methods： 121 Patients with 159 restenosis lesions after intracoronary interventional therapy were included in this study. Restenosis morphology of different kinds of stents were analysed. Results： The focal restenosis in drug eluting stent （DES） and bare metal stent （BMS） was 39.80% and 70.49% respectively （P = 0. 000） ; Diffuse restenosis was 60.20% and 29.51% （P 〈 0.001 ）. The morphology of the different kinds of DES （ Cypher, Taxus and Firebird） was similar （ focal restenosis was 83. 33% , 55. 56% and 75.00%, P = 0.070 ; diffuse restenosis was 16.67 %, 44.44% and 25.00% , P = 0.070）. Conclusion： DES changed the morphology of in-stent restenosis, from diffuse restenosis to focal restenosis ; Different DES has the similar morphology of restenosis.
出处
《军医进修学院学报》
CAS
北大核心
2008年第3期231-232,共2页
Academic Journal of Pla Postgraduate Medical School
作者简介
金琴花，女，黑龙江省海林市人，1995年北京医科大学临床专业毕业，2005年军医进修学院心血管内科博士毕业，主治医师。E-mail：jinqinhua@sohu．com
