syntax评分在无保护左主干病变中的应用价值

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1、授予单位代码10089学号或申请号13210HebeiMedicalUniversity硕士学位论文在职科学学位SYNTAX评分在无保护左主干病变中的应用价值学位申请人：马秀娥导师：徐泽升教授专业：内科学二级学院：沧州市中心医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用•凡发表与学位论文主要内容相关的论文,第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北辱科大学1有。否则，承担相应

2、法律责任。研究生签名:Jr导师签章/二级学院等琴等章1说J河北医科大学研究生学位论文独创性声明«•*本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写,文责自负。研究生签名：导师签章：年it月—日目录中文摘要·············································································1英文摘要·················································

3、····························3英文缩写·············································································6研究论文SYNTAX评分在无保护左主干病变中的应用价值前言·············································································7材料与方法····································································8结果····

4、·········································································10附图·············································································12附表·············································································13讨论···························································

5、··················16结论·············································································21参考文献·······································································21综述冠脉左主干病变的血运重建策略的风险评估·······················25致谢········································································

6、···········31个人简历·············································································32中文摘要SYNTAX评分在无保护左主干病变中的应用价值摘要目的：探讨SYNTAX评分在冠脉无保护左主干病变中的应用价值。方法：回顾性分析2012年01月至2014年01月在沧州市中心医院冠脉造影检查，证实为无保护左主干病变患者172例，其中8例失访。入选标准：患者冠状动脉造影左主干狭窄程度大于或者等于50%的病变，同时不存在通畅的血管桥或自身右向左良好侧枝循环；经皮冠状动脉介入治疗者均植入雷帕霉素支架

7、。排除标准：不能长期耐受抗血小板药物治疗的患者；冠脉粥样硬化以外的其他原因引起左主干病变者；合并有恶性肿瘤或其他慢性致死性疾病者；既往有CABG史或PCI史者。所有患者均行经皮冠状动脉介入治疗（percutaneouscoronaryintervention,PCI）或冠脉旁路移植术（coronaryarterybypassgraft，CABG）。对造影结果进行SYNTAX评分。随访患者术后12个月的主要不良心脑血管事件