CTA和腔内治疗主髂动脉硬化闭塞症中的应用  

Endovascular treatment for aorto-iliac occlusive disease

作　　者：毛学惠[1] 卢云[1] 董学英[1] 袁海[1] 

机构地区：[1]山东大学附属省立医院

出　　处：《医学影像学杂志》2011年第9期1429-1431,共3页Journal of Medical Imaging

摘　　要：目的：探讨CTA和腔内治疗在主髂动脉硬化闭塞症中的综合应用和疗效评价。方法：本组主髂动脉硬化闭塞患者共113例,其中男79例,女34例,年龄45~81岁,平均62.5岁。术前患者均常规行CTA检查,主髂动脉病变范围及程度根据TASCⅡ（The trans-Atlantic Inter-Society Consensus）分型,其中TASC A型42例（37.17%）,B型39例（34.51%）,C型患者13例（11.50%）,D型患者19例（16.81%）。腔内治疗经股动脉或肱动脉入路,采用通过闭塞段、球囊扩张、支架放置及股总动脉内膜剥脱等方法进行治疗。结果：107例患者主髂动脉闭塞病变获开通,开通率为94.7%。68例患者临床症状明显改善,39例中度改善。平均随访（26±2.3）月（6~54）月,术后6月、1年及2年的初次通畅率分别为82.76%、76.21%、67.66%,术后6月、1年及2年的二次通畅率分别为92.31%、81.67%、73.62%。结论：对于主髂动脉硬化闭塞的患者,综合应用CTA和腔内治疗是一项安全有效的措施,可获得满意的临床疗效。Objective：To explore the computerized tomography arteriography（CTA） and endovascular treatment in aorto-iliac occlusive disease and evaluate the results.Methods：113 patients underwent endovascular treatment.Mean patient age was 62.5 years（range,45 years to 81 years） and 69.9% of patients were men.TransAtlantic Inter-Society Consensus A,B,C and D disease was respectively present in 37.17%,34.51%,11.50% and 16.81% of patients.With the approach from femoral artery or brachial artery,Combined techniques,such as recanalization,balloon dilation,stent placement and concomitant common femoral endarterectomy,were applied to treatment.Results：Technical success was achieved in 107 patients（94.7%）.Clinical status was moderately improved in 39 cases and markedly improved in 68 cases.Mean time of follow-up was（26±2.3） months.At 6 months,primary patency was 82.76%,and secondary patency was 92.31%.At 12 months,primary patency was 76.21%and secondary patency was 81.67%.At 24 months,primary patency was 67.66% and secondary patency was 73.62%.Conclusion：Combined CTA and endovascular techniques is a safe and effective method in treatment of aortoiliac occlusive disease.

关 键 词：动脉闭塞性疾病 体层摄影术 X线计算机 血管腔内治疗 介入 

分 类 号：R814.42[医药卫生—影像医学与核医学] R543.5[医药卫生—放射医学]