单纯左冠状动脉主干病变24例临床分析  

Simple left main coronary artery disease： clinical analysis of 24 cases

作　　者：金树琦[1] 马俊彪[1] 纪晓玲[1] 张柱[1] 

机构地区：[1]内蒙古包头医学院第一附属医院心内科,内蒙古包头014010

出　　处：《世界最新医学信息文摘》2013年第7期10-11,共2页World Latest Medicine Information Electronic Version

摘　　要：目的对单纯左冠状动脉主干病变患者采用支架置入手术和冠脉搭桥手术的方法进行比较和分析。方法我院在2007年10月至2010年1月期间，一共收治了经冠状动脉造影证实为单纯左冠状动脉主干严重病变患者24例，对这些患者进行随机分组，介入组11例：对患者采用介入支架置入术治疗；搭桥组13例：对患者采用外科冠脉搭桥术治疗；对这两种治疗方法的效果及预后进行比较和分析。结果患者在手术治疗后3年内，两组患者的死亡和中风进行比较，搭桥组（13例）：死亡2例，占15．4％；中风有3例，占23．1％。介入组（11例）：死亡4例，占36．4％；中风有5例，占45．5％。差异显著，具有统计学意义（P〈0．05）。结论采用搭桥手术对单纯左冠状动脉主干病变患者进行治疗，效果显著。优于行介入治疗。Objective To right simplex left main coronary artery lesions in patients adopt stent implantation surgery and coronary artery bypass graft surgery＇s methods were compared and analysis. Methods Our hospital in October 2007 - January 2010 period, a total of admitted confirmed by coronary angiography alone severe left main coronary artery lesions in 24 cases, these patients were randomized to the intervention group of 11 patients： patients interventional stenting; bypass group of 13 patients： For patients with surgical treatment of coronary artery bypass surgery; these two treatments and prognosis compared and analyzed. Result Within 3 years after the surgery patients, two groups of death and stroke in patients with comparison, bypass group （13 cases）, 2 cases died, accounting for 15.4%; Stroke in 3 cases, accounting for 23.1%. Intervention group （11 cases）, 4 cases died, accounting for 36.4%; Stroke in 5 cases, accounting for 45.5%. The significant difference, statistically significant （P 〈 0.05）. Conclusion Using a simple bypass surgery in patients with left main coronary artery disease treatment, the effect was significantly superior to interventional therapy.

关 键 词：支架置入术 搭桥手术 冠状动脉 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]