摘要
目的 探讨性别对冠状动脉小血管病变支架植入后临床疗效和长期预后的影响。方法 90例单纯植入小血管支架 (直径≤ 2 .75mm)的患者 ,按性别分为两组 ,比较两组的手术成功率及随访期临床事件发生率。结果 男性组与女性组小支架植入成功率分别为 93.8%和 88.5 % ,差异无显著性 (P =0 .39)。在平均 3～31个月的随访期内 ,两组临床事件发生率分别为 35 .6 %和 4 3.5 % ,差异无显著性 (P =0 .5 0 )。结论 女性患者小血管病变支架术成功率与男性相近 ,远期心脏事件的发生率并不高于男性 ,长期预后均较好。
Objective To compare the efficacy of coronary stenting in small coronary arteries in different gender. Methods Between January 2000 and August 2002, 90 patients with stenosis of small coronary arteries were treated with 2.5 or 2.75 mm stent. According to the gender, these patients were divided into two groups, group A, 64 males and group B, 26 females. The successful rate and complication rate as well as the follow up outcomes were compared. Results Baseline clinical characteristics were similar among the two groups, except patients in group A were more likely to have hypertenstion and hypercholesterolemia than those in group B. Angiography and acute complication rates were comparable in the two groups. Follow up study revealed no significant difference in the survival or revascularization of the target vessel(35.6% vs 43.5%, P =0.50). Conclusion Intracoronary stent implantation of stenosed small coronary arteries in both genders can be carried out with similar successful rate and acceptable complication rate, and women can attain long term outcomes as well as men.
出处
《上海医学》
CAS
CSCD
北大核心
2003年第3期174-176,共3页
Shanghai Medical Journal
