NHẬN xét kết QUẢ bước đầu CHỤP và CAN THIỆP ĐỘNG MẠCH VÀNH tại BỆNH VIỆN TRƯỜNG đại học y dược HUẾ

NHN XÉT KT QU U CHP VÀ CAN THING MCH VÀNH
TI BNH VII HC HU

Hun,
Nguyn, Nguyn Xuân Tín, Phm Tn Quang, H Anh Tun



  




Kt qu: Sau mn hành th thup và can thi
t bnh nhân, can thit Stent cho 41 bnh nhân (15,89%). Nhóm tuc can thip
ng mch vành nhiu nht là 61-71 chim 34,15%. T   m t l cao nht
(46,59%). Tng mch vành chim t l cao nht là 61,81%. Tng
mch vành kiu A chim t l cao nht (22,48%). Stent không thuc chim t l cao nht
ng hp tng mc can thi là kiu A (74,47%).
T l bin chng cao nht trong quá trình chp và can thip mch vành là bin chng mch máu
chim 3,91%.
              

cho phép.

SUMMARY
Background: Percutaneous Coronary Intervention (PCI) has been developed as an effective
method to treat coronary heart disease. Go after cardiovascular intervention centers, Hue College
of Medicine and Pharmacy Hospital has been equipped DSA system and has started first PCI
case since June 2009.

The aim of this study is to evaluate the PCI procedure after 1 year (from April 2010 to April 2011)
Results: After 1 year, we have done 258 coronary angiography with 41 cases (15,89%)
stenting. The most patients age from 61-67 were done PCI (34,15%). The most coronary lesion
was LAD (46,59%). The rate of the once vessel disease is the most (61,81%).Type A lesion had
a high rate (22,48%). Bare stent occupied 57,45%. Lesion was done PCI almost type A
(74,47%). Highest rate of complication was vascular complication (3,91%)
Conclusion: Percutaneous coronary intervention has been developed in , Hue College of
Medicine and Pharmacy Hospital and this procedure has obtained promising results with
acceptable complication rate.


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[2]    

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




    
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


- 

 


- 
-B-

                 
 

Phân lo ng mch vành: 
 [1]

SPSS 15.0

III. KT QU
m chung v tui và gii  nhóm bnh nhân chp mch vành
Bng 3.1. m chung v tui và gii  nhóm bnh nhân chp mch vành
Nhóm tui
N
Nam
Tng
n
%
n
%
n
%

15
5,81
29
11,24

44
17,05
51-60
41
15,89
54
20,93
95
36,82
61-70
35
13,57
34
13,18
69
26,74
>70
30
11,63
20
7,75
50
19,38
Tng
121
46,90
137
53,10
258
100,00

 ng bc chp mch vành là 53,10% so vi s ng bnh
nhân n c chp mch vành là 46,90%. Bc chp mch vành phn ln  la tui
t n 60 (36,82%)
m chung v tui và gii  nhóm bnh nhân can thing mch vành
Bng 3.2. m chung v tui và gii  nhóm bnh nhân can thing mch vành
Nhóm tui
N
Nam
Tng
n
%
n
%
n
%

1
2,44
4
9,76
5
12,20
51-60
2
4,88
8
19,51
10
24,39
61-70

5
12,20
9
21,95
14
34,15
>70
6
14,63
6
14,63
12
29,27

14
34,15
27
65,85
41
100,00
 ng bc can thing mch vành là 65,85%, s ng
bnh nhân n c can thing mch vành là 34,15%. Nhóm tuc can thing mch
vành nhiu nht là 61-71 chim 34,15%.
3.3. V trí tng m
Bng 3.3. V trí tng m

n
%
Thân chung
1

1,14
LAD
41
46,59
Cx
25
28,41
RCA
21
23,86


 

n
%
1
71
81,61
2
14
16,09
3
2
2,30
ng mch vành chim t l cao nht là 61,81%

 

n

%
A
58
22,48
B1
19
7,36
B2
3
1,16
C
5
1,94

173
100


 
Stent
n
%

20
42,55

27
57,45

47

100


 


Nam

n
%
n
%
n
%
A
15
31,91
20
42,55
35
74,47
B
4
8,51
5
10,64
9
19,15
C
2

4,26
1
2,13
3
6,38

15
31,91
26
55,32
47
100,00
                 
(74,47%)
3.8. T l các bin chng trong quá trình chp và can thing mch vành
Bng 8: T l các bin chng trong quá trình chp và can thing mch vành

n
%

0
0

0
0

0
0

5

1,40

14
3,91

2
0,56

3
0,84

2
0,56

1%.













 


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of stable angina pectoris among women and men, JAMA, 295, pp.1404-1411.
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need larger population studies with higher endpoint resolution, Heart, 93, pp.786-791.