股浅动脉长段闭塞的治疗  

The treatment of long segmental occlusion of the superficial femoral artery

作　　者：王爱林[1] 徐恒[1] 吴永杰[1] 刘丽[1] 韩盛辉 

机构地区：[1]黑龙江省医院血管外科,哈尔滨150001

出　　处：《中国血管外科杂志（电子版）》2011年第4期234-235,247,共3页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的分析研究常规球囊扩张与切割球囊相结合在股浅动脉长段闭塞治疗中的扩张效果和中期疗效。方法 2009年6月～2010年7月间应用常规球囊扩张联合切割球囊治疗51例动脉硬化闭塞症股浅动脉长段闭塞患者,观察其临床疗效。结果 51例患者中有49例导丝通过闭塞段,动脉直径狭窄率为35%～83%。治疗后患者重度狭窄部位的狭窄程度平均减少至37%,其他部位的狭窄程度减少至20%左右,未发生动脉壁撕裂,穿孔出血合并症。术后1年CTA复查有13%的患者再次出现闭塞,未闭塞的患者中动脉最狭窄处狭窄程度平均为55%。结论常规长球囊与切割球囊相配合可以有效地治疗股浅动脉长段闭塞,中期效果较好,但长期疗效有待于进一步观察。Objective To assess the efficacy of balloon angioplasty combined with cutting balloon angioplasty in the treatmeat of long segmental occlusion of the superficial femoral artery.Methods Between February 2009 and July 2010,51 patients with long segmental occlusion of the superficial femoral artery underwent balloon angioplasty combined with cutting balloon angioplasty.Results For 49 out of 51 cases,the guide wire passed through the occluded part.The stenosis rates were 35%～83% before treatment,and was decreased to about 20% while serious stenosis was went down to 37% after the treatment.One-year reocclusion rate of therapy was 13%.The mean stenosis degree at the narrowest sites of the stenosed vessels in the cases who did not occur reocclusion was 55%.Conclusion Balloon angioplasty combined with cutting balloon angioplasty is safe and feasible for long segmental occlusion of the superficial femoral artery.However,long-term results of the therapy need to be further observed.

关 键 词：动脉闭塞 切割球囊 球囊扩张 

分 类 号：R654.3[医药卫生—外科学]