冠心病多支血管病变完全血运重建的长期疗效观察

Observation of Long-term Outcome of Complete Interventional Revascularization in Patients with Multivessel Coronary Disease

为分析冠心病多支血管病变（MVD）患者经皮冠状动脉介入治疗（PCI）进行完全血运重建术后长期的临床疗效，我们收集了 2004年5月-2008年5月589例接受PCI的冠心病患者，其中实施完全性血运重建（CRV）461例（78.3％），不完全性血运重建（IRV）128例（21.7％），对比分析两组病例PCI术后随访1年以上的结果。 结果显示IRV组患者中完全闭塞病变、3支血管病变的比例均高于CRV组（P〈0.01）；CRV组PCI成功率明显高于IRV组（94.8% vs 87.5%, P〈0.05）。提示多支冠状动脉病变完全性血运重建能够获得更好的长期临床疗效论。

To analysis the long term outcome of complete revascularization by percutaneous coronary intervention （PCI） in patients with multivessel coronary disease（MVD）,from May 2004 to May 2008, a total of 589 patients with multivessel coronary disease were treated by PCI in our center were collected, among whom 461 patients （78.3%）achieved complete revascularization （CRV group） and 128 patients achieved incomplete revascularization （IRV group）. One-year outcomes were compared between the two groups.The result is that the rates of chronic total occlusion and triple vessels disease in IRV group were significantly higher than those in CRV group（P〈0.01）. The PCI success rates in CRV group and IRV group were 94.8% and 87.5% （P〈0.05）.Therefore,complete revascularization by PCI in patients with multivessel coronary disease can achieve better one-year clinical outcome.