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目的:总结101例冠状动脉分叉病变单支架置入术的临床疗效。方法:回顾性分析101例冠状动脉分叉病变患者,采用仅主支置入支架,边支不置入支架的手术策略,观察手术即刻及术后6~9个月临床疗效及主要心血管事件(MACE)发生率。结果:手术后即刻成功率99.01%(100/101),住院期间无MACE发生,术后6~9个月随访无症状者95.65%(88/92),发生稳定型心绞痛者2.17%(2/92),不稳定型心绞痛者2.17%(2/92),MACE发生率1.09%(1/92)。结论:分叉病变采用仅主支置入支架,边支不置入支架的手术策略,短期观察安全有效。
Objective: To summarize the clinical effect of 101 cases of coronary bifurcation single stent implantation. Methods: A total of 101 patients with coronary artery bifurcation were retrospectively analyzed. The operation strategy of only stenting and stenting without stenting was observed retrospectively. The clinical effects and major cardiovascular events were observed immediately and 6 to 9 months after operation (MACE) incidence. Results: The success rate immediately after operation was 99.01% (100/101). No MACE occurred during the hospitalization. 95.65% (88/92) of asymptomatic patients were followed up 6 to 9 months after operation, 2.17% (2 / 92), unstable angina pectoris 2.17% (2/92), MACE incidence 1.09% (1/92). Conclusion: The bifurcation lesion is only safe and effective in short-term observation.