经皮腔内血管成形术治疗膝下动脉硬化闭塞症的临床分析  

Value of percutaneous transluminal angioplasty in the treatment for arteriosclerosis obliterans of infrapopliteal arterial

作　　者：王中华[1] 田磊[1] 陈学东[1] 王仕华[1] 王育红[1] 姜福亭[1] 黄瑾[1] 

机构地区：[1]海军总医院普通外科,北京100048

出　　处：《海军总医院学报》2010年第1期13-15,共3页Journal of Naval General Hospital of PLA

摘　　要：目的探讨经皮腔内血管成形术(percutaneous transluminal angioplasty,PTA)对膝下动脉硬化闭塞症的治疗效果。方法回顾性分析我院从2006年10月-2009年2月采用PTA治疗膝下动脉硬化闭塞症的32例患者(42条肢体)的病史资料和术后随访资料。结果39条肢体获得影像学成功(残余狭窄率<30%),技术成功率为92.9%(39/42),治疗后第1周踝/肱指数(ABI)由术前的0.44+0.12增至0.82+0.20,术后6、12个月肢体通畅率分别为为85.7%(36/42)和71.4%(30/42),术后12个月肢体保全率和存活率分别为92.9%(39/42)和93.8%(30/32)。结论PTA治疗膝下动脉硬化闭塞症的临床成功率高、并发症少、救肢率高,是安全有效的治疗膝下动脉硬化闭塞症的方法。Objective To investigate the value of percutaneous transluminal angioplasty （PTA） in treatment of arteriosclerosis obliterans in infrapopliteal arterial. Methods Between Oct. 2006 and Feb. 2009 in our hospital, the clinical and follow-up data of 32 cases（42 limbs） with arteriosclerosis obliterans in infrapopliteal arterial treated by PTA were studied retrospectively. Results 39 limbs were angiographic success（defined as the residual stenosis of the treated segment was less than 30%）, clinical success rate was 92.9% （39/42）. Doppler ankle-brachial index（ABI） increased from 0.44＋0.12 to 0. 82＋0. 20（P〈0. 05） at one week after treatment. The 6-month and 12-month patency rates was 85.7% （36/42）and 71.4% （30/42）, 12-month limb salvage rate and survival rate was 92.9% （39/42）and 93.8% （30/ 32）respectively. Conclusion PTA is a safe and effective method for arteriosclerosis obliterans in infrapopliteal arterial, yielding high clinical success with a low complication rate and a high limb salvage rate.

关 键 词：经皮腔内血管成形术 动脉硬化 闭塞 膝下动脉 

分 类 号：R654.3[医药卫生—外科学]