经皮血管腔内球囊扩张成形术和支架置入术治疗股动脉硬化闭塞症的临床观察  

The clinical observation of percutaneous transluminal balloon angioplasty and stenting for femoral atherosclerotic arteriosclerosis obliterans

作　　者：卢再鸣[1] 郑加贺 单明[1] 温锋[1] 刘兆玉[1] 郭启勇[1] 

机构地区：[1]中国医科大学附属盛京医院放射科,辽宁沈阳110004

出　　处：《中国现代医学杂志》2011年第13期1501-1503,共3页China Journal of Modern Medicine

基　　金：辽宁省教育厅创新团队课题(No:2007T182)

摘　　要：目的观察经皮血管腔内球囊扩张成形术(PTA)和支架置入术(PTAS)治疗股动脉硬化闭塞症的临床效果。方法 72例股动脉硬化闭塞症患者随机分为PTA组和PTAS组,每组36例,分别接受经皮血管腔内PTA和PTAS治疗,比较两组患者治疗前后踝肱指数、闭塞血管通畅率以及并发症的变化。结果与手术前相比,两组患者踝肱指数(ABI)和闭塞血管通畅率均升高,与PTA组相比,PTAS组踝肱指数升高明显,差异均有统计学意义,P<0.05。72例术后随访2年,PTA组和PTAS组闭塞血管通畅率分别为77.7%和97.2%,两组比较差异有统计学意义。两组患者术后并发症比较无明显差异。结论经皮血管腔内PTA和PTAS治疗股动脉硬化闭塞症疗效良好,但PFAS治疗后踝肱指数和闭塞血管通畅率更高,疗效更显著。【Objective】 To observe the clinical effect of percutaneous transluminal balloon angioplasty（PTA） and stenting（PTAS） for femoral arteriosclerosis obliterans.【Methods】 72 patients with femoral arteriosclerosis obliterans were randomly divided into the PTA group and the PTAS group,each group was 36 patients.PTA group was treated with percutaneous endovascular and PTAS group was treated with stending.Ankle brachial index,the patency rate and complications were compared before and after treatment.【Results】 Compared with pre-operation,the ankle-brachial index（ABI） and patency rate increased in both two groups;Compared with the PTA group,ankle-brachial index in PTAS group increased significantly,the differences were statistically significant,P 0.05.72 patients were followed up for 2 years and the patency rates in both two group were 77.7% and 97.2% respectively.There was no significant difference in complications between the two groups.【Conclusion】 PTA or PTAS treat femoral arteriosclerosis obliterans,but ankle-brachial index and patency rate increase more by PFAS after treatment and with more effective.

关 键 词：股动脉硬化闭塞症 球囊扩张术 支架置入术 踝肱指数 

分 类 号：R543.5[医药卫生—心血管疾病]