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血管腔内治疗下肢动脉硬化闭塞症 预览 被引量:16

Endovascular treatment of arteriosclerosis obliterans of lower extremity
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摘要 目的评价血管腔内治疗下肢动脉硬化闭塞症的疗效。方法回顾性分析我院92例(120条患肢)接受腔内治疗的下肢动脉硬化闭塞症患者的临床资料,并随访其疗效。结果116条患肢介入治疗获得技术成功,治疗后踝肱指数0.82±0.21,较术前(O.38±0.16)明显提高(P〈0.05)。术后3、6、12、24个月随访率分别为95.51%(85/89)、92.77%(77/83)、70.77%(46/65)、60.71%(17/28),相应动脉通畅率分别为90.99%(101/111)、86.00%(86/100)、77.97%(46/59)、65.220(15/23)。2例股动脉支架内急性血栓形成,经置管溶栓术治愈;2例行膝下截肢术。结论血管腔内治疗下肢动脉硬化闭塞症安全、有效,远期效果尚需进一步观察。 Objective To observe the effect of endovascular treatment for arteriosclerosis obliterans of lower extremity. Methods Totally 92 patients (120 limbs) who underwent endovascular treatments were analyzed retrospectively and {ol- lowed up. Results Technical success of endovascular treatment was achieved in 116 limbs. The ankle-brachial index were significantly improved after endovascular treatment (0.82 ± 0.21 vs 0.38 ± 0.16, P〈 0.05). The follow-up rate at 3- month, 6-month, 12-month, 24-month was 95.51% (85/89), 92.77% (77/83), 70.77% (46/65), 60.71% (17/28), respectively, and the relative arterial patency rate was 90.99% (101/111), 86.00% (86/100), 77.97% (46/59), 65.22% (15/23), respectively. Acute thrombosis in femoral artery stent occurred in 2 patients, and was cured after direct catheter thrombolysis. Below-the-knee amputation was done in 2 patients. Conclusion Endovascular treatment of arteriosclerosis obliterans of lower extremity is safe and effective, but its long-term efficacy needs to be further observed.
作者 李大林 颜京强 陈允惠 张鲲 LI Da-lin, YAN Jing-qiang , CHEN Yun-hui, ZHANG Kun (Department of Vascular Surgery, Qingdao Municipal Hospital, Qingdao 266071, China)
出处 《中国介入影像与治疗学》 CSCD 2014年第3期141-144,共4页 Chinese Journal of Interventional Imaging and Therapy
关键词 闭塞性动脉硬化 下肢 经皮腔内血管成形术 支架 Arteriosclerosis obliterans Lower extremity Percutaneous transluminal angioplasty Stents
作者简介 [作者简介]李大林(1964-),男,山东青岛人,硕士,主任医师。研究方向:血管外科疾病的诊疗。E—mail:lidalinqd@hotmail.com [通讯作者]颜京强,青岛市市立医院血管外科,266071。E-mail:jingqiangyan@126.com
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