复杂冠脉病变经皮冠状动脉介入治疗与冠状动脉旁路移植术的临床比较  

CLINICAL EFFECTS COMPARISION THE PERCUTANEOUS CORONARY INTERVNTION AND BYPASS GRAFT SURGERY FOR PATIENTS WITH COMPLEX CORONARY ARTERY LESION

作　　者：徐勤成[1] 孙晓斐[1] 丛培玲[1] 张申[1] 任长杰[1] 郝丽[1] 

机构地区：[1]济宁医学院附属第一人民医院

出　　处：《济宁医学院学报》2005年第2期17-19,共3页Journal of Jining Medical University

摘　　要：目的比较经皮冠状动脉介入治疗(PCI)与冠状动脉旁路移植术(CABG)治疗复杂冠状动脉病变的疗效。方法对血管病变符合B2/C型病变的130例患者分别进行PCI或CABG治疗,进行近期和远期疗效分析。结果从近期疗效看,在住院期间PCI组与CABG组总的心血管事件没有差异(3.8%vs7.7%;RR=0.480;P=0.341)。两组远期疗效相比其总的心血管事件没有差异(30.3%vs28.6%;RR=1.085;P=0.840)。随访结束时PCI组与CABG组总的心血管事件无差异(33.3%vs34.6%;RR=0.944;P=0.880)。结论对于复杂冠状动脉病变的治疗由于PCI的优势,在部分病人、部分病变PCI有取代CABG的趋势。Objective To comparision effects treatment complex coronary artery lesion between percutaneous coronary intervention(PCI) and bypass graft surgery(CABG).Methods Random selected 130 patients with type B2/C lesion.One accept PCI,the other accect CABG treatment.Results Comparision clinical dffects between PCI and CABG.The short-term and long-term incidence of death CVA and MI of two groups was no signficant different (3.8% vs 7.7%,RR=0.480;P=0.341 and 30.3% vs 28.6%,RR=1.085;P=0.840 respectly).The inciderce of CVA and MI between PCI groups and CABG grops there no siguificant different after follow up.(33.3% vs 34.6%,RR=0.944;P=0.880).Conclusion PCI approach can offer the same degree of protection against death and cardiac or cerebrovascular events as surgery and is generally perceived by patients as less invasive,so PCI may be replace CABG in future.

关 键 词：经皮冠状动脉介入治疗 冠状动脉旁路移植术 复杂冠脉病变 临床比较 复杂冠状动脉病变 心血管事件 CABG 远期疗效分析 PCI B2/C型 血管病变 近期疗效 住院期间 

分 类 号：R654.2[医药卫生—外科学] R749.3[医药卫生—临床医学]