关键词: 冠心病, 心脏外科手术, 对比研究

Abstract: ［Abstract］ Objective〖HTSS〗〓To evaluate the clinical value of hybrid coronary revaseularization(HCR), coronary artery bypass grafting(CABG) and percutaneous coronary intervention(PCI) in the treatment of coronary heart disease.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A retrospective analysis was made of the clinical data of 88 patients with confirmed coronary artery disease and coronary angiography suggesting double or triple vessel lesions of the coronary artery. According to the operation they were divided into 3 groups: 26 cases of HCR group, 32 cases of CABG group, 30 cases of PCI group. The basic conditions, operation time, drainage volume, mechanical ventilation time, postoperative hospitalization days and infection rate were compared before and after operation. The patients were followed up for 1 to 12 months to observe whether there was myocardial infarction or angina attack, and the patency of coronary artery and bridge vessels after 1 year.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The operation time and postoperative hospitalization time of PCI group were significantly shorter than those of HCR group and CABG group, and the postoperative hospitalization time of HCR group was shorter than that of CABG group(P＜0.05); the mechanical ventilation time of CABG group was significantly longer than that of HCR group, and the drainage volume on the first day after operation was less than that of HCR group, the difference was statistically significant(P＜0.05). There were no significant differences in LVEF value, incision infection rate and bridging vessel stenosis rate among the three groups(P＞005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓HCR has important clinical value in the treatment of coronary heart disease in terms of risk, aesthetics and prognosis.

Key words: coronary disease； cardiac surgical procedures, comparative study