导引导丝操作托盘在经皮冠状动脉介入治疗中的应用

摘要

目的 探讨自制经皮冠状动脉腔内成形术(PTCA)导引导丝操作托盘,在经皮冠状动脉介入治疗(PCI)中的应用价值.方法 40例患者随机分为实验组(使用导丝操作托盘,n=20)和对照组(采用传统方法操作导丝,n=20),两组PCI术均在局部麻醉下进行.观察评价两组术中导丝缠绕次数、手术操作区域手术单污染程度及导丝操作舒适便利程度.结果 实验组导丝缠绕次数、手术操作区域手术单污染程度明显少于对照组(P＜0.05).实验组术中操作导丝舒适便利程度优于对照组(P＜0.05).结论 PCI术中应用自制导引导丝操作托盘,可有效地避免导丝相互缠绕,降低手术区域手术单污染程度.%Objective To explore the application of self-made guided wire operating-tray,which is designed for percutaneous tranluminal coronary angioplasty (PTCA),in performing coronary intervention (PCI).Methods A total of 40 patients who were planned to receive PCI were randomly divided into the study group (n=20,using guided wire operating-tray) and the control group (n=20,using traditional method to operate guide wire).Under local anesthesia PCI was carried out in all patients of both groups.The frequency of guide wire winding,the degree of surgical sheet contamination within the operation area,and the comfort and convenience of operating guide wire were assessed,the results were compared between the two groups.Results The frequency of guide wire winding and the degree of surgical sheet contamination within operation area in the study group were remarkably lower than those in the control group (P＜0.05).The comfort and convenience of operating guide wire in the study group was better than that in the control group (P＜0.05).Conclusion In performing PCI,the use of self-made guided wire operating-tray can effectively avoid guide wire winding and reduce the degree of surgical sheet contamination within the operation area.