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下肢动脉硬化性闭塞症的介入治疗体会(PDF)

《中国普外基础与临床杂志》[ISSN:1007-9424/CN:51-1505/R]

期数:
2010年07期
页码:
676-678
栏目:
专题
出版日期:
2010-07-22

文章信息/Info

Title:
Experience of Arteriosclerosis Obliterans of Lower Extremities by Endovascular Treatment
稿件编号:
201007010
作者:
师天雄; 缪健航; 胡锡祥
 广东省中山市人民医院普外二科（中山 528403）
Author(s):
 SHI Tian-xiong;  MIAO Jian-hang;  HU Xi-xiang. 
 The Second Department of General Surgery, Zhongshan City People’s Hospital, Zhongshan 528403, Guangdong Province, China
关键词:
下肢;  动脉硬化性闭塞;  介入治疗;  经皮腔内血管成形;  支架
Keywords:
 ; Lower extremity;  Arteriosclerosis obliterans;  Endovascular treatment;  Percutaneous transluminal angioplasty;  Stent
分类号:
R654.4
DOI:
-
文献标识码:
A
摘要:
目的   探讨下肢动脉硬化闭塞症(ASO)介入治疗的疗效及治疗体会。
方法   采用经皮腔内血管成形术（PTA）和支架置入术对22例（26条肢体）下肢ASO患者进行治疗，分析术后疗效。结果   22例中18例（22条患肢）成功完成介入治疗，置入支架12枚，术中造影血管通畅，术后无严重并发症发生; 4例介入治疗失败，其中2例行手术治疗。术后患肢缺血症状消失或明显减轻。踝肱指数由治疗前的0.35±0.13增加至治疗后的0.70±0.15（P<0.01）。随访2～18个月（平均10个月），3例患者复发，其中2例再次行介入治疗，1例患者给予药物治疗，症状均缓解。
结论   下肢ASO的介入治疗具有微创、重复性好、并发症少等优点，可作为临床重要的治疗手段。
Abstract:
Objective   To explore the clinical experience of endovascular treatment for arteriosclerosis obliterans (ASO) of lower extremities.
Methods   Endovascular treatment were performed on 22 patients (26 limbs) suffering from ASO which were diagnosed by magnetic resonance angiography (MRA). The clinical efficacy after operation was analyzed. Results    Twentytwo lower extremities of 18 patients successfully accepted endovascular treatment with 12 stents planted without major complications. Four cases failed to endovascular treatment and 2 of them converted to bypass surgery. The clinical symptoms of limb ischemia vanished or significantly improved after treatment. The ankle brachial index (ABI) of affected extremities increased from 0.35±0.13 (before operation) to 0.70±0.15 (after operation), P<0.01. During the follow-up of 2-18 months, 3 cases suffered re-occlusion of artery of lower extremity, in them one case received drug treatment and 2 cases resolved by percutaneous transluminal angioplasty (PTA) and stenting again.
Conclusion   Endovascular treatment for ASO of lower extremities has such advantages as minimal invasiveness, reduced complications and repeatability. It may serve as a more promising choice of method to clinical treatment of ASO.

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备注/Memo

备注/Memo:
【通讯作者】师天雄，E-mail: tianxiongshi@yahoo.com.cn
【作者简介】师天雄（1955年-），男，新疆乌鲁木齐人，硕士，主任医师，主要从事血管外科和头颈外科工作。
更新日期/Last Update: 2010-07-27