| 万云高,华 琦,李 康,郝恒剑,魏嘉平,李 耘,刘力松,温 静.冠脉慢性完全闭塞66例左室结构及疗效分析[J].中国医学影像技术,2003,19(7): |
| 冠脉慢性完全闭塞66例左室结构及疗效分析 |
| Analysis of Left Ventricular Structure and Curative Effect in 66 Patients with Coronary Artery Chronic Occlusion |
| 投稿时间：2003-04-09 |
| DOI： |
| 中文关键词: 冠状动脉造影 超声心动 心室重构 不稳定心绞痛 慢性闭塞 |
| 英文关键词:Coronary angiography Ultrosonic cardialgrophy Ventricular remodeling Unstable angina pectoris Chronic occlusion |
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| 中文摘要: |
| 目的 研究和探讨冠脉慢性闭塞后对左室结构的影响。方法 对冠脉慢性闭塞的不稳定心绞痛病人66 例回顾分析,其中单纯心绞痛为A组(36 例),伴有陈旧心梗为B组(30 例),正常对照为C组(50例)。分析各组超声心动结果和疗效。结果 ①超声心动结果:左室舒张末容积(EDV):B组(154.43±50.53)ml>A组(129.57±32.35)ml>C组(98.39±19.31)ml,组间有显著差异(P<0.05);左室舒张末内径(LVEDD)B组(5.59±0.75)cm>A组(5.18±0.57)cm>C组(4.6±0.39)cm,组间有显著差异(P<0.05)。② 疗效:治疗后院内无心脏事件发作A组31/36(86.1％)>B组18/30(60.0％),组间有显著差异(P<0.05)。结论 冠脉慢性完全闭塞引起左心室扩大,心室重构,提示对此类病人应进行血管重建治疗。 |
| 英文摘要: |
| Objective To study the relation between left ventricular structure and coronary artery chronic occlusion in patients with ischemic heart disease.Methods LVEDV (left ventricular end diatolic volume) and (LVEDD)were measured in 66 patients of unstable angina pectoris with coronary artery chronic occlusion,which including 36 patients without old myocardial infarction (A group) and 30 patients with old myocardial infarction (B group ),and in 50 age and sex matched normal controls (C group) using 5500 type UCG.Results ①UCG:LVEDV of B group (154.43±50.53)ml was larger than that of A group (129.57±32.35)ml,and that of C group (98.39±19.31)ml,there were significant differences between the groups (P<0.05).The LVEDD of B group (5.59±0.75)cm was larger than that of A group (5.18±0.57)cm;and that of C group (4.6±0.39)cm,there were also significant differences between the groups (P<0.05).②Curative effect:No heart events rate of post-treatment in hospital in A group 31/36 (86.1％) was higher than in B group 18/30 (60.0％),difference between the two groups was significant (P<0.05).Conclusion Coronary artery chronic occlusion in patients with ischemic heart disease makes left ventricular large and remodeling,which suggests that this kind of patients should be revascularlized. |
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