冠状动脉评分方法的研究进展  

Research Progress of Coronary Artery Scoring Method

作　　者：高灵[1] 孟照辉[1] 

机构地区：[1]昆明医科大学第一附属医院心内科,分子心血管病研究室,昆明650032

出　　处：《医学综述》2013年第9期1601-1603,1609,共4页Medical Recapitulate

基　　金：国家自然科学基金(81160025);云南省中青年学术技术带头人后备人才资助项目(2011CI057);云南省教育厅重大专项(ZD2010007);云南省应用基础研究重点项目(2012FB005)

摘　　要：目前用于冠状动脉造影病变评分的方法有Leaman评分法、Gensini评分法、美国心脏病学会/美国心脏协会(ACC/AHA)评分法及Syntax评分法4种,通过评分计算既可以了解冠状动脉病变的范围,也可以客观地反映冠心病的严重程度。但4种评分方法的侧重点不同,Leaman评分法、Gensini评分法、ACC/AHA评分法均可探讨一些生化指标与冠心病的严重程度有无关联。Gensini评分法已广泛用于临床试验,与其相比评分法相比,Leaman、ACC/AHA评分法现已相对较少应用。Leaman评分法、Gensini评分法及ACC/AHA评分法虽然也是根据冠状动脉造影进行的危险分层,但包含信息不全面,有较大局限性,不能有效地应用于指导冠状动脉血运重建方式的选择。目前研究认为,Syntax评分法是一种能有效指导临床,特别是对3支病变或左主干病变选择合理血运重建方式的评分方法。The current methods for coronary angiography lesion scoring include：Leaman score, Gensini score, ACC/AHA score and Syntax score,by which not only understanding the range of coronary lesion, but also objectively reflecting the severity of coronary heart disease can be realized. But the four coronary scoring methods have different emphases ： Leaman score, Gensini score, ACC/AHA score can indicate if some biochemical indexes and the serverity of coronary heart disease are correlated or not. Gensini score is widely used in clinical trials, compared with it, Leaman score and ACC/AHA score have fewer applications. According to coronary angiography for risk stratification,Leaman score, Gensini score, ACC/AHA score are incomprehensive and limited,which cannot effectively guide the coronary revascularization manners selection. Currently, Syntax score is an effective method to choose reasonable revascularization manner,especially in 3-vessel disease or left main disease.

关 键 词：冠状动脉 Leaman评分法 Gensini评分法 美国心脏病学会 美国心脏协会评分法 Syn-tax评分法 

分 类 号：R541.4[医药卫生—心血管疾病]