论文部分内容阅读
目的:探讨使用较小直径(5F)共用型造影导管经桡动脉径路诊断性的冠脉造影在基层医院应用的可行性。方法:选择我院经桡动脉径路冠状动脉造影共175例病人,分为Judkins导管组(85例)和共用型导管组(90例),比较上述两组手术成功率,造影平均手术操作时间和x线透视时间。结果:共用型造影导管组造影成功率为97.8％。而Judkins导管组为94.1％,共用型造影导管组平均手术操作时间和x线透视时间分别为25.1±10.1分和6.21±4.89分,而Judkins导管组为32.1±19.8和7.46±5.62分,均明显长于共用型造影导管组P<0.01。结论:使用较小直径的共用型造影导管经桡动脉径路冠脉造影操作简便快速,x线照射时间短、并发症少、成功率高。
OBJECTIVE: To explore the feasibility of using a small diameter (5F) common angiography catheter through the radial artery pathology diagnostic coronary angiography in primary hospital. Methods: A total of 175 patients undergoing radial artery coronary angiography in our hospital were selected and divided into Judkins catheter group (n = 85) and common catheter group (n = 90). The operation success rate, average operation time and X-ray fluoroscopy time. Results: The success rate of the contrast-assisted catheterization group was 97.8%. Compared with 94.1% for the Judkins catheter group, 25.1 ± 10.1 and 6.21 ± 4.89 for the common angiography catheter group, and 32.1 ± 19.8 and 7.46 ± 5.62 for the Judkins catheter group, both significantly Longer than the common contrast catheter group P <0.01. CONCLUSIONS: Common angiography catheters with smaller diameters are easy and quick to perform coronary angiography via radial artery approach. X-ray exposure time is short with fewer complications and high success rate.