老年下肢动脉硬化闭塞症的腔内治疗  

Endovascular Treatment of Lower Extremity Arteriosclerotic Occlusive Disease in Elderly Patients

作　　者：王中华[1] 杨晓冬[1] 陈学东[1] 田磊[1] 王世华[1] 姜福亭[1] 王育红[1] 

机构地区：[1]海军总医院普通外科,北京100048

出　　处：《中国医学影像学杂志》2012年第3期236-238,共3页Chinese Journal of Medical Imaging

摘　　要：目的探讨老年下肢动脉硬化闭塞症(LEAOD)腔内治疗的技术方法及疗效。资料与方法回顾性分析2007-06～2010-06在我院行腔内治疗的60例老年LEAOD患者腔内治疗技术、围术期处理特点、临床效果、并发症及随访情况。结果 68条肢体获得技术成功,成功率为94.44%(68/72);并发症发生率为6.94%(5/72),其中2例发生心衰,1例发生造影剂肾病,2例发生导丝穿破血管壁,无围术期死亡;踝/肱指数(ABI)由术前的(0.55±0.13)增至术后7d的(0.82±0.15)(t=11.54,P<0.001);术后12个月、24个月肢体一期通畅率分别为88.46%(46/52)和71.88%(23/32),二期通畅率分别为92.31%(48/52)和78.13%(25/32),术后24个月肢体保全率为100.00%(32/32)。结论下肢动脉腔内治疗技术成功率高、并发症少,是老年LEAOD安全有效的治疗方法。Purpose To investigate the technique and effect of endovascular treatment for lower extremity arteriosclerotic occlusive disease （LEAOD） in elderly patients. Materials and Methods Between Jun 2007 and Jun 2010 in our hospital, 60 elderly patients （72 limbs） with LEAOD were treated. The endovascular treatment techniques, perioperative characteristics, clinical outcome, complications and follow- up results were analyzed. Results Technical success rate was 94.44% （68/72）. Five patients （6.94%） experienced complications including 2 heart failures, 1 contrast- induced nephropathy and 2 artery perforations. The mortality rate was 0. The ankle- brachial index （ABI） increased from （0.55±0.13） to （0.82±0.15） （t=11.54, P 0.001） at 7 days after treatment. The primary patency rates were 88.46% （46/52） and 71.88% （23/32） at 12 and 24 months respectively. The secondary patency rates were 92.31% （48/52） and 78.13% （25/32） at 12 and 24 months respectively. The limb salvage rate was 100.00% （32/32） at 24 months. Conclusion Endovascular treatment is a safe and effective method for LEAOD in elderly patients.

关 键 词：动脉硬化 闭塞性 股动脉 血管成形术 老年人 

分 类 号：R543.5[医药卫生—心血管疾病]