检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:崔佳森[1] 庄舜玖[1] 戚韶红[1] 李黎[1] 周俊文[1] 张婉[1] 朱华琦[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》2010年第11期864-867,共4页Chinese Journal of Current Advances in General Surgery
基 金:上海市科学技术委员会科研计划面上项目(08411960200)
摘 要:目的:探讨经肱动脉入路在双侧髂动脉硬化闭塞症(ASO)中的应用价值。方法:采用经肱动脉入路逆行穿刺的方法,对12例双侧髂段ASO患者共24条下肢行PTA及PTSA。结果:12例患者穿刺成功率100%,23条下肢得到了PTA及PTSA治疗。术后随访2- 24个月,患肢发凉、无力、疼痛麻木等临床症状均有不同程度缓解,患肢皮肤温度增高,行走距离加长,4条下肢足靴部溃疡缩小或者愈合,1条下肢足小趾坏死自行脱落、创面愈合;得到治疗的23条患肢ABI由术前0.29±0.15升至术后0.56±0.17。结论:经肱动脉入路治疗双侧髂动脉ASO是安全、有效的治疗措施,近期疗效确切。Objective: To evaluate the effects of endovascular treatment of the bilateral iliac atherosclerotic obliterans(ASO) by brachial artery approach.Methods: To implement percutaneous transluminal angioplasty(PTA)and percutaneous transluminal stent angioplasty(PTSA) in 12 patients(24 limbs)by brachial artery retrograde approach.Results: All 12 patients were succsessful in brachial artery retrograde approach,the technical success rate was 100%.Twenty-three limbs were treated with PTA and PTSA.Follow up after procedure from 2 to 24 months,all patients were varying degrees relieved in coolness,lacking in strength,pain and nambness limbs,skin temperature heighten and walk distance prolong.Four limbs with preoperative foot ulcer were shrinked or healed.One limb with foot gangrene was self-falled off and healed of surface of the wound.The ABI was increased from 0.29±0.15 in preoperation to 0.56±0.17 in postoperation.Conclusions: Endovascular treatment of the bilateral iliac atherosclerotic obliterans is a safe and effective by brachial artery approach,it has exact near-term therapentic efficacy.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:3.16.15.52