头臂干彩色多普勒超声在经桡动脉行冠状动脉造影入径选择中的临床应用及分析

发布时间：2018-03-15 23:10

本文选题：头臂干迂曲　切入点：彩色多普勒超声　出处：《中国动脉硬化杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨头臂干彩色多普勒超声(CDU)在经桡动脉行冠状动脉造影(CAG)入径选择中的临床价值。方法 700例行CAG的不稳定型心绞痛患者,随机分为试验组(n=362)和对照组(n=338)。试验组根据CDU筛查有无头臂干迂曲分为超声迂曲组和超声无迂曲组;对照组根据CAG筛查有无头臂干迂曲分为造影迂曲组和造影无迂曲组。分析CDU诊断头臂干迂曲的准确性,头臂干迂曲的发生率及其对CAG手术成功率、手术时间以及并发症的影响。结果试验组和对照组头臂干迂曲的发生率分别是9.4%、10.7%,差异无统计学意义(P0.05)。CDU诊断头臂干迂曲的灵敏度为94.4%,特异度为98.7%。造影迂曲组手术成功率较超声迂曲组、超声无迂曲组、造影无迂曲组低(P0.05),手术时间较超声迂曲组、超声无迂曲组、造影无迂曲组长(P0.05)。超声迂曲组、超声无迂曲组、造影迂曲组、造影无迂曲组发生桡动脉痉挛分别有1、9、1、8例,造影迂曲组出现1例轻度主动脉夹层、12例导管打结。结论 CDU可为广大介入医师对头臂干迂曲患者选择更有效的CAG途经提供重要参考价值。
[Abstract]:Objective to evaluate the clinical value of CDU in the selection of coronary artery diameter via radial artery. Methods 700 patients with unstable angina pectoris with CAG were enrolled in this study. The experimental group was randomly divided into two groups: the experimental group (n = 362) and the control group (n = 338). According to CDU screening, the experimental group was divided into two groups: the ultrasonic detour group and the ultrasonic non-detour group. According to CAG screening, the control group was divided into two groups: the contrast group and the contrast group. The accuracy of CDU in diagnosing the twists of the head-arm trunk, the incidence of the twists of the head-arm trunk and the success rate of CAG operation were analyzed. Results the incidence of forearm twists in the experimental group and the control group was 9.4 and 10.7, respectively. There was no significant difference between the two groups. The sensitivity and specificity of CDU in diagnosing the tortuosity of the forearm trunk were 94.4 and 98.7 respectively. The power is higher than the ultrasonic detour group, There was no detour in ultrasound group, and no detour in contrast group. The operation time was longer than that in ultrasonic detour group, no detour group in ultrasound, no detour group in contrast examination, no detour group in ultrasound, no circuitous group in ultrasound, and detour group in angiography. There were 8 cases of radial artery spasm in the no detour group. Conclusion CDU can provide important reference value for interventional physicians to choose a more effective CAG route for patients with head and arm trunk tortuosity.
【作者单位】：济宁市第一人民医院心内科;
【分类号】：R541.4

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