不完全血液运行重建策略对老年冠状动脉多支血管病变患者预后的影响

The Effect of Incomplete Revascularization Strategy for Prognosis of Elderly Coronary Patients with Multi-vessel Disease

目的:探讨不完全血液运行(血运)重建策略对老年冠状动脉多支血管病变患者预后的影响。方法:选取冠状动脉多支病变行PCI术治疗的患者189例,分为完全血运重建组和部分血运重建组,比较两组预后情况。结果:CTO病变不完全重建组高于完全血运重建组外(P<0.05),病变血管数均无统计学差异(P>0.05);完全重建组手术时间较长,造影剂使用量较多,均P<0.05;两组并发症除心力衰竭的发生率有统计学差异外(P<0.05),其他无统计学差异,均P>0.05;两组1年期随访预后间比较,差异无统计学意义,各指标均P>0.05。结论:不完全血运重建与完全血运重建策略对老年冠状动脉多支血管病变患者预后情况相似。

Objective：To investigate effect of incomplete revascularization strategy fot prognosis of elderly coronary patients with multi-vessel disease prognosis.Methods：189 cases of patients with coronary multivessel disease by the of treatment PCI surgery were selected and were divided into the complete revascularization group and incomplete revascularization group,the prognosis werecompared.Results：The CTO lesions of the incomplete revascularization group were higher than that of the complete revascularization group （P0.05）.The operation time and the use of contrast agents of the completely revascularization group were more than those of the incomplete revascularization group,P0.05.The prognosis of 1-year follow-up of the two groups was not statistically significant,all P〉0.05.Conclusion：The effect of incomplete revascularization and complete revascularization strategy for the prognosis of elderly coronary multivessel disease in patients was similar.