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冠心病的治疗大致分为三类:一是单纯药物治疗;二为经皮冠状动脉介入术;三是冠状动脉旁路移植术.后两种即冠状动脉血运重建,目前是治疗冠心病的有效手段.对于单纯左主干及复杂血管病变的冠心病患者,如何选择合适的血运重建策略一直存在争议,SNYTAX积分的出现则为策略选择提供了一个有理可循、有据可依的方向.现就SNYTAX积分对冠心病治疗指导的研究现状及其改良做一综述.“,”There are three methods that have been used to treat coronary heart disease:simple drug treatment,percutaneous coronary intervention and coronary artery bypass grafting. The latter two methods belong to revascularization and presently are effective means for the treatment of coronary heart disease. Controversy remains regarding the option of appropriate treatment between multi-vessel coronary artery disease and left main coronary artery disease,and the SNYTAX score provides a rational and evidence-based direction for treatment selection. The purpose of this review is to summarize the current treatment guidelines in coronary heart disease of the SNYTAX score.