冠心病患者分支病变支架植入术治疗效果及安全性评估

目的评价冠心病患者冠状动脉分叉病变支架植入后的治疗效果及其安全性。方法74例冠心病患者冠状动脉分叉病变行支架植入术，其中24例主支和分支内均植入支架，50例仅在主支内植入支架。结果（1）两组患者病变支数及病变累及部位构成比间差别无显著性意义；（2）两组患者再狭窄发现率间差别无显著性意义；（3）两组患者间主要心血管病事件差别无显著性意义。结论冠状动脉分叉病变的冠心病患者仅在主支内植入支架和主、分支内均植入支架两组间治疗效果相近，主要心血管病事件无显著性差别。

Therapeutic effectiveness and safety of implanted drug eluting stents in coronary heart disease patients with bifurcational lesions

Objective To evaluate the therapeutic effectiveness and safety of coronary bifurcation stenting in patients with coronary heart disease. Methods Data of 74 patients with coronary bifurcation lesion treated with coronary stenting in this hospital from Jan. 2005 to Jan. 2007 were collected. Of the patients,24 received stenting of both main branch and side branch and 50 received only stenting of the main branch. Results (1)The percentages of number of branches with lesion and lesion locations were not significantly different between the 2 groups. (2)The rate of restenosis was not significantly different between the 2 groups. (3)The main cardiovascular adverse events were not signiticantly different between the 2 groups. Conclusion In treatment of coronary heart disease patients with coronary bifurcation lesions,the efficacy between stenting of main branch only and stenting of both main branch and side branch was similar and the main cardiovascular adverse events were not significantly different between the 2 groups.