[1]杨 康,周 晨,殷 音,等.经血管内超声引导介入治疗ST段抬高性心肌梗死的效果及对心肌灌注、近期预后的影响[J].介入放射学杂志,2026,(05):495-500.[doi:10.3969/j.issn.1008-794X.2026.05.005 ]
 YANG Kang,ZHOU Chen,YIN Yin,et al.The therapeutic effect of intravascular ultrasound-guided interventional therapy for ST-segment elevation myocardial infarction and its influence on myocardial perfusion and short-term prognosis[J].J Intervent Med,2026,(05):495-500.[doi:10.3969/j.issn.1008-794X.2026.05.005 ]
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经血管内超声引导介入治疗ST段抬高性心肌梗死的效果及对心肌灌注、近期预后的影响()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年05
页码:
495-500
栏目:
心脏介入
出版日期:
2026-05-25

文章信息/Info

Title:
The therapeutic effect of intravascular ultrasound-guided interventional therapy for ST-segment elevation myocardial infarction and its influence on myocardial perfusion and short-term prognosis
文章编号:
1008-794X(2026)-005-0495-06
作者:
杨 康 周 晨 殷 音 张英武 张修泽
832000 新疆石河子 石河子大学第一附属医院医学影像中心(杨 康),介入中心(周 晨),心内一科(殷 音),心内二科(张英武、张修泽)
Author(s):
YANG KangZHOU ChenYIN YinZHANG YingwuZHANG Xiuze.
Medical Imaging Center,First Affiliated Hospital of Shihezi University,Shihezi,Xinjiang Uygur Autonomous Region 832000,China
关键词:
ST段抬高性心肌梗死 经血管内超声 经皮冠状动脉介入 冠状动脉造影
分类号:
R541.4
DOI:
10.3969/j.issn.1008-794X.2026.05.005
文献标志码:
A
摘要:
目的 分析经血管内超声(intravascular ultrasound,IVUS)引导介入治疗ST段抬高性心肌梗死(ST-segment elevation myocardial infarction,STEM)的效果及对心肌灌注、近期预后的影响。方法 收集2023年2月至2024年12月石河子大学第一附属医院118例行急诊经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗的STEMI患者临床资料,其中57例在IVUS引导下完成急诊PCI治疗(IVUS组),61例在冠状动脉造影(coronary angiography,CAG)引导下完成急诊PCI治疗(CAG组),两组均术后随访1年。记录两组术后心肌血流灌注与ST段回落情况、PCI术中并发症,比较术后1年主要心血管不良事件(major adverse cardiovascular events,MACE)、支架内再狭窄(in-stent restenosis,ISR)、支架内血栓形成(in-stent thrombosis,ST)及出血事件及晚期管腔丢失(late lumen loss,LLL)差异。结果 IVUS组、CAG组术后即刻靶血管血运重建成功率分别为100.00%、98.36%,术后2 h ST段完全回落率分别为84.21%、75.41%,差异均无统计学意义(P=0.235)。CAG组术中有1例C型冠状动脉夹层,IVUS组术中未出现并发症,组间PCI术中并发症发生率(0 vs 1.64%)比较,差异无统计学意义(P>0.05)。术后1年随访时,IVUS组MACE总发生率、ISR发生率分别为5.26%、3.51%,低于CAG组的18.03%、14.75%(P=0.036),两组ST及出血事件发生率比较,差异均无统计学意义(P>0.05)。术后1年,IVUS组MLD高于CAG组[(3.11±0.52)mm vs(2.92±0.47)mm,P=0.039],LLL低于CAG组[(0.04±0.01)mm vs(0.09±0.02)mm,P<0.001]。结论 IVUS引导PCI治疗能促进STEMI患者心肌血流灌注恢复,较常规CAG引导能减少术后1年MACE及ISR的发生,降低LLL,对患者预后更有利。

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(收稿日期:2026-01-12)
(本文编辑:元 禾)

备注/Memo

备注/Memo:
通信作者: 张修泽 E-mail:1209262770@qq.com
更新日期/Last Update: 2026-05-25