介入治疗下肢动脉缺血性疾病  

Interventional treatment for lower limb ischemia

作　　者：孟庆义[1] 刘兆轩[1] 王瑞华[1] 

机构地区：[1]山东大学附属济南市中心医院血管外科,济南250013

出　　处：《中国血管外科杂志（电子版）》2009年第1期36-38,共3页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的评价介入治疗下肢动脉缺血疾病的近、远期疗效。方法回顾性分析行血管腔内成形术或内支架成形术治疗360例下肢动脉缺血疾病患者的临床资料。结果本组腔内治疗成功率为93%(335/360),术后静息痛消失、溃疡愈合,术前、后踝肱指数(ABI)分别为0.37±0.16和0.89±0.21,二者比较有显著性差异(P<0.05);25例术后症状无明显改善,其中5例术后1周截肢。312例(86.7%)获得随访,随访时间6个月至8年,术后5年一期通畅率为70%,二期通畅率为82%,糖尿病患者5年一期通畅率为59%,二期通畅率为76%。结论介入治疗下肢动脉缺血疾病是一种安全有效的治疗方法。Objective To evaluate the short- term and long-term outcomes of interventional treatment for lower limb ischemia.Methods Percutaneous transluminal angioplasty (PTA) and stent placement were performed on 360 patients (485 limbs) suffering from lower limb ischemia and the data were reviewed retrospectively.Results Endovascular procedures were performed successfully in 93% of patients (335/360).Rest pain disappeared and ulcers healed after the operations.Ankle-brachial index (ABI) was significantly different between preoperation (0.37±0.16) and postoperation (0.89±0.21) (P<0.05).The remaining 25 patients had no alleviation after operation,and 5 of them underwent amputation within 1 week postoperatively.During the follow-up (6 months-8 years),312 patients (86.7%) were followed.Primary and secondary patency at 5-year postoperatively were 70% and 82%,respectively.While for diabetics,primary and secondary patency at 5-year postoperatively were 59% and 76%,respectively.Conclusion Endovascular therapy is an effective and safe treatment of lower limb ischemia.

关 键 词：动脉闭塞 介入治疗 球囊扩张 

分 类 号：R654.4[医药卫生—外科学]