下肢动脉闭塞性病变的介入治疗  

The interventional treatment for occlusive lesion of lower limbs arteries

作　　者：曹振远[1] 刘增尧[1] 冷久成[1] 赵锦龙[1] 李静[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院介入科,黑龙江150001

出　　处：《当代医学》2009年第5期21-23,共3页Contemporary Medicine

摘　　要：目的探讨下肢动脉闭塞性病变介入治疗的临床疗效。方法对97例下肢动脉闭塞性疾病的患者进行回顾性分析。97例患者128条患肢术前经CTA或MRA诊断后,采用腔内血管成形术(PTA)和置入血管支架进行介入治疗,并随访0.5～1.5年。治疗前后Rutherford分期,踝肱指数(ABI)双尾法配对t检验。结果成功完成96例(99.0%)患者127条(99.2%)患肢的介入治疗,支架置入114枚(92例),术中造影血管通畅,无严重并发症的发生。术后患者下肢缺血症状消失或明显减轻。踝肱指数(ABI)由治疗前0.36±0.13增加至0.71±0.15,P<0.01,具有统计学意义。术后随访6～18个月,12例(12.5%)患者复发再次介入治疗,其余患者足背动脉搏动良好。结论下肢动脉闭塞性病变的介入治疗具有微创、高效等优点,可作为临床的首选。Objective To evaluate the efficacy of interventional treatment of occlusive lesion of lower limbs arteries. Methods During Jan 2007 to Jun 2008,97 patients （71 males and 26 females, ages 47 to 82） with arterial occlusive lesions in iliac, femoral and/or poptiteal artery accepted interventional therapy, including percutaneous transluminal angioplasty （PTA） and placement of stent, which diagnosed by CTA or MRA. Follow-up interval ranged 0.Sto 1.Syears. T test was used for statistics. Results The procedure was successful in 96 patients with 114 stents planted without major complications. The symptoms of lower limb ischemia were palliated or vanished in 96 patients after interventional therapy. The ankle-brachnial index （ABI） of diseased extremities increased from pre-operation 0.36±0.13 to post-operation 0.71±0.15（P〈0.01）. All the patients were followed-up from 6 to 18 months. During the follow-up, 12 patients received interventional therapy again. Conclusions Interventional therapy is an effective and safe therapy for occlusive lesion in iliacofemoral arteries and can be the first choice.

关 键 词：下肢动脉闭塞性病变 PTA 血管支架 介入治疗 

分 类 号：R543.5[医药卫生—心血管疾病]