介入治疗髂、股动脉粥样硬化性闭塞的疗效观察  

Interventional management of iliofemoral arteriosclerosis obliterans : an observation of results

作　　者：隋守光[1] 孙鹏[1] 王世礼 张伟[1] 肖颖[1] 施洪峰[1] 李玮[1] 

机构地区：[1]山东东营滨州医学院附属东营市胜利油田中心医院血管、神经介入科,257034 [2]青岛市胶州中心医院放射科

出　　处：《介入放射学杂志》2011年第8期648-651,共4页Journal of Interventional Radiology

摘　　要：目的探讨介入治疗髂、股动脉粥样硬化性闭塞临床疗效。方法 2007年7月至2009年4月,应用经皮血管腔内成形术(FTA)及支架置入术治疗下肢髂、股动脉粥样硬化性闭塞17例17条患肢。结果 13支髂、股动脉粥样硬化性闭塞成功行PTA及支架置入术,手术开通率76.5%(13/17),4条患肢行内科保守治疗。术后踝肱指数(ABI)、趾端皮肤温度(TTS)差异有统计学意义(P<0.01)。与术前比较术后6个月ABI、TTS差异有统计学意义(P<0.01)。结论 PTA及支架置入术是治疗下肢髂、股动脉粥样硬化性闭塞的有效方法。Objective To evaluate interventional management in treating iliofemoral arteriosclerosis obliterans. Methods During the period from July 2007 to April 2009, percutaneous transluminal angioplasty （PTA） combined with stent placement was carried out on 17 limbs in 17 patients suffering from iliofemoral arteriosclerosis obliterans. Results The immediate success rate of PTA combined with stenting was 76% （13/17）. Conservative measures Were employed in 4 patients. After the treatment, the ankle brachial index （ABI） and temperature of toes skin （TrS） were remarkably improved. Both postoperative ABI and TTS were significantly different from preoperative ones （P 〈 0.01 ）. Six months after the treatment, ABI and TTS remained statistically significant different from those obtained before the treatment （P 〈 0.01 ）. Conclusion Percutaneous transluminal angioplasty combined with stent placement is an effective treatment for iliofemoral arteriosclerosis obliterans.

关 键 词：动脉闭塞性疾病 血管成形术 球囊 支架置入 

分 类 号：R737.9[医药卫生—肿瘤]