Objective To discuss the application of SYNTAX snores in evaluation of the feasibility, safety and the long-term effect of PCI and CABG of patients with complex coronary lesions. Methods SYNTAX scores of coronary angingraphy and relevant clinical auxiliary examination of patients underwent PCI and CABG in our hospital from January 2009 to September 2011 were reviewed. Discharged patients were followed-up about 12 months, major adverse cardio-cerebral events (MACCE, including the death of patients, stroke and MI incidence, revascularization rate) were observed. Results One year follow-up of SYNTAX research results showed that the differences of incidence of joint security events (cardiac death, stroke, myocardial infarction) between PCI group and CABG group were compared, among which the difference of cardiac death was not statistically significant (P > 0.05), the difference of myocardial infarction rate was not statistically significant (P > 0.05), but compared with PCI group, there was a still higher stroke rate in the CABG group (P < 0.05). Conclusion The efficacy of individual programs based on the SYNTAX score between PCI and CABG was equal in low scores and middle scores areas; in high scores area, the incidence of MACCE in CABG is significantly lower than the PCI.%目的 探讨SYNTAX评分在论证复杂冠脉病变中,经皮冠状动脉介入治疗(PCI)及冠状动脉旁路移植术(CABG)可行性、安全性及远期疗效的应用.方法 回顾性分析2009年1月～2011年9月我院PCI及CABG患者冠脉造影的SYNTAX评分及相关临床辅助检查.对出院患者随访12个月观察主要不良心脑血管事件(包括患者死亡、脑卒中和MI发生率、再次血运重建率).结果 在SYNTAX研究1年随访结果显示,PCI组与CABG组联合安全性终点事件(心源性死亡、脑卒中、心肌梗死)发生率比较,心源性死亡发生率差异无统计学意义(P＞0.05),心肌梗死发生率差异无统计学意义(P＞0.05),而脑卒中CABG组相对PCI组发生率较高(P＜0.05).结论 基于SYN-TAX评分的个体化方案,低分区及中分区PCI和CABG疗效相当；高分区CABG的主要不良心脑血管事件发生率明显低于PCI.
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