腔内治疗下肢动脉硬化闭塞症76例临床分析  

Endovascular treatment of arterial sclerosis obliterans: 76 cases

作　　者：茅届齐[1] 李克[1] 王栈山[1] 钱水贤[1] 

机构地区：[1]上海交通大学附属第一人民医院血管外科,上海200080

出　　处：《中国现代普通外科进展》2011年第7期521-523,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:讨论腔内成形术在下肢动脉硬化闭塞症(ASO)治疗中的应用。方法:回顾2008年5月—2010年4月收治的76例ASO病例,分析Fontaine分期及糖尿病对手术疗效的影响。结果:技术成功61例,总体技术成功率80.3%。FontaineⅡ期组39例,技术成功36例(92.3%),明显高于Ⅲ期组(82.1%)和Ⅳ期组(22.2%);合并糖尿病组22例(28.9%),技术成功15例(68.2%),低于无糖尿病组(85.2%)。结论:腔内成形术是治疗ASO的有效微创手术方法,积极腔内手术干预有助提高早期患者手术成功率,同时对晚期患者可有效改善症状。Objective： To discuss the outcome of endovascular treatment for arterial sclerosis obliterans（ASO）.Methods： 76 cases of ASO were admitted from May,2008 to April,2010,while the efficacy of endovascular treatment was evaluated.Also,the affecting of diabetes to the results of treatment of ASO was discussed.Results： The rate of technical success was 80.3% in the whole 76 cases,while the rates for the cases of Fontaine Ⅱ,Ⅲ,Ⅳ were 92.3%,82.1% and 22.2% respectively.Twenty-two cases were suffered from diabetes,whose rate of technical success was 68.2%,which was obviously lower than that of the group without diabetes（85.2%）.Conclusion： Endovascular operation is minimally invasive and effective in the treatment of ASO,not only for the early stage cases,but also for the advanced ones.

关 键 词：动脉硬化闭塞症 支架 球囊 血管成形术 

分 类 号：R654.4[医药卫生—外科学]