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

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.