吸烟的冠状动脉三支病变患者药物洗脱支架置入术与冠状动脉搭桥术2年疗效比较

 目的评价吸烟的冠状动脉三支病变患者药物洗脱支架置入术（DES-PCI）与冠状动脉搭桥术（CABG）2 年的临床疗效。方法连续入选2006 年7 月至2008 年4 月间进行血运重建治疗的206 例吸烟的三支病变患者,分为PCI组（108 例）和CABG组（98 例）,观察术后2 年2 组患者主要不良心脑血管事件（MACCE）发生率及全因死亡率的差异。结果PCI 组与CABG组2 年MACCE 发生率差异无统计学意义（18.5%：12.2%, P>0.05）,PCI 组再次血运重建率高于CABG 组,差异有统计学意义（9.3%：2.0%, P<0.05）。2 组全因死亡率差异无统计学意义（5.6%：8.2%, P>0.05）,其中年龄与左室射血分数是影响预后的（ P<0.05）。结论吸烟的三支病变患者行DES鄄PCI 进行血运重建治疗与行CABG治疗在2 年内疗效相当,年龄与左室射血分数为影响预后的因素。

Comparison of Two-year Outcomes between Drug-eluting Stent Implantation and Coronary Artery Bypass Grafting in Smoking Patients with Three-vessel Coronary Artery Disease

Objective To compare the two-year outcomes between percutaneous coronary intervention with drug-eluting stents(DES-PCI) and coronary artery bypass grafting(CABG) in smoking patients with three-vessel coronary artery disease.Methods 206 smoking patients with three-vessel coronary artery disease who received revascularization treatment between July 2006 and April 2008 were enrolled and divided into PCI group(n =108) and CABG group(n =98).Differences in two-year occurrence of Major Adverse Cardiac and Cerebrov...