经皮腔内血管成形术治疗下肢动脉流出道闭塞性硬化症的临床分析  

Treated by PTA on arteriosclerosis obliterans for lower extremital arterial outflow tract

作　　者：张建勇[1] 于中丽[1] 

机构地区：[1]新疆医科大学附属中医医院,新疆乌鲁木齐830000

出　　处：《新疆医科大学学报》2008年第8期1002-1004,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨下肢动脉流出道闭塞性硬化症的经皮腔内血管成形术(percutaneous transluminal angioplas-ty,PTA)治疗效果。方法:采用deep球囊PTA治疗下肢动脉流出道闭塞性硬化症32条肢体。对比治疗前与治疗后踝/肱指数(ABI)、趾端皮肤温度(TTS)及流出道动脉造影显影分数(OTVC)的差异。下肢动脉流出道采用多普勒血管超声随访6个月。结果:全组患者32条肢体采用deep球囊PTA治疗下肢动脉流出道闭塞性硬化症即时成功率为100%。治疗后第1个月ABI明显高于治疗前(P<0.05),治疗后第6个月差异无统计学意义(P>0.05),但TTS明显高于治疗前(P<0.01),14条肢体OTVC评分明显高于治疗前(P<0.01)。多普勒超声下肢动脉流出道随访1、3及6个月,再闭塞率分别为3.85%、38.46%及46.15%。结论:采用deep球囊PTA治疗下肢动脉流出道闭塞性硬化症可促进动脉侧支血管形成,改善血供,提高趾端皮肤温度。Objective： To explore the treatment of percutaneous transluminal angioplasty （PTA） on arteriosclerosis obliterans for lower extremital arterial outflow tract. Methods： Summarized the 32 limbs on arteriosclerosis obliterans of lower extremital arterial outflow tract and they were treated by PTA with deepballoon catheters in our hospital. It was took by variance analysis on ankle/brachium index number （ABI） and temperature of toes skin （TTS） and outflow tract of visualization score （OTVC） at the prior-treatment and post-treatment. Results： The succeeding operations were immediately of 100%. Differences of ABI were significant （P〈0.05） at first month and were not significant （P〉0.05） at sixth month in posttreatment. Differences of TTS and OTVC （in 14 limbs） were significant （P 〈0.01） at sixth month posttreatment. Doppler ultrasounography was followed up for 6 months, Rates of re-obliteration were 3.85 and 38.4G%0 and 46.15~ at first and third and sixth month. Conclusion： The method of PTA with deepballoon catheters can reconstruct the branch of arterial lower extremity and raise temperature of ischemic toes.

关 键 词：deep球囊 经皮腔内血管成形术 (动脉)闭塞性硬化症 下肢动脉流出道 

分 类 号：R654.4[医药卫生—外科学]