腔内微创技术治疗膝下段动脉硬化性闭塞症  

Endovascular noninvasive technology for the treatment of atherosclerotic occlusion of infrapopliteal artery

作　　者：崔佳森[1] 庄舜玖[1] 戚韶红[1] 李黎[1] 周俊文[1] 朱华琦[1] 张婉[1] 

机构地区：[1]复旦大学附属华东医院血管外科,上海200433

出　　处：《中国现代普通外科进展》2009年第11期954-956,共3页Chinese Journal of Current Advances in General Surgery

基　　金：上海市科学技术委员会基金项目(08411960200)

摘　　要：目的:探讨腔内微创技术在治疗膝下动脉硬化性闭塞症(ASO)中的价值。方法:采用患肢顺行穿刺加长球囊,对46例膝下段ASO患者51条肢体行经皮腔内血管成形术(PTA)。结果:患肢PTA技术成功率88.2%(45/51)。术后随访6个月～2年,94.1%(48/51)患肢的发凉、麻木、疼痛等症状有不同程度缓解;88 2%(45/51)患肢温度增高、行走距离加长;5条患肢足踝部溃疡愈合;2条患肢足小趾坏死自行脱落,创面愈合。患肢踝/肱指数(ABI)由术前的0.58±0.13升至术后的0 89±0.15,最近一次随访测量值为0.85±0.14。结论:顺行穿刺加长球囊行PTA技术治疗膝下段ASO近期疗效确切。Objective：To evaluate the effects of enclovascutar non/nvasive technology for the treatment of atherosclerotic occlusion of infrapopliteal artery. Methods：Application antegrade puncture and long balloon in femoral artery in 46 atheroscterotic occlusive disease infrapopliteal artery with 51 limbs were used and percutaneous transluminal angioplasty was performed, antico- agulant and vasodilator medicine, such as low molecule heparin, argatroban and alprostadil were given after operation. Results：The technical success was obtained in 45 limbs, the technical suc- cess rate was 88.23% in 51 suffered limbs. During a follow-up period of 6 to 24 months, pain relieved in 48 limbs, skin temperature increased and walk distance prolonged in 45 limbs. Five limbs with preoperative foot ulcer were healed. Two limbs with foot gangrene were self-failed off and healed of surface of the wound. The ABI was increased from 0.58±0.13 in preoperation to 0,89 ±0.15 in postoperation,and the last examination was 0.85±0.14（P〈0.05）.Conclusion：Antegrade puncture and long balloon PTA is a safe and effective treatment for patients with atherosclerotic occlusive disease of infrapopliteal artery,it has exact neer-term therapentic efficacy.

关 键 词：动脉硬化 闭塞性 血管成形术 气囊 

分 类 号：R543.5[医药卫生—心血管疾病]