微球囊扩张成形术在膝下动脉闭塞性疾病治疗中的初步应用  

Micro-balloon dilatation angioplasty for arteriosclerosis obliterans of infra-popliteal arteries: initial experience in clinical application

作　　者：郭晓华[1] 张焱[1] 胡宪清[1] 何建荣[1] 金红来[1] 林开勤[1] 胡晓钢[1] 吴素理[1] 梅英[1] 

机构地区：[1]浙江省金华市中心医院放射介入科,321000

出　　处：《介入放射学杂志》2012年第5期421-424,共4页Journal of Interventional Radiology

摘　　要：目的探讨膝下血管微球囊扩张成形术在下肢动脉闭塞性疾病治疗中的应用价值。方法选择以膝下动脉闭塞为主的下肢动脉闭塞性疾病患者32例,共38条肢体,均采用单纯球囊扩张成形术治疗闭塞或严重狭窄病变。结果 38条肢体中技术成功36条(94.73%)。主要并发症有动脉穿孔(1例)、痉挛(1例)及穿刺点血肿(1例)。随访6个月,临床成功率92.11%(35/38)。11例坏疽患者中,1例膝上截肢,救肢率90.91%(10/11)。结论血管微球囊扩张成形术为治疗膝下动脉硬化闭塞症的安全有效的治疗方法,近期疗效满意。Objective To discuss the clinical application of micro-balloon dilatation angioplasty in the treatment of arteriosclerosis obliterans of infra-popliteal arteries. Methods A total of 32 patients with arteriosclerosis obliterans of infra-popliteal arteries were enrolled in this study. The sum total of diseased lower extremities clinically detected was 34. Simple micro-balloon dilatation angioplasty for the vascular occlusion or severe stricture was carried out in all patients. The clinical results were analyzed. Results Of the 38 diseased lower extremities, technical success was achieved in 36 （94.73%）. The main complications included arterial pertbration （n = 1）, arterial spasm （n = 1） and hemaloma at the puncture site （n = 1）. All the patients were followed up for 6 montbs. The clinical success rate was 92.11% （35/38）. Among 11 patients suffering from gangrene, amputation above knee had to be carried out in only one, and the limb salvage rate was up to 90.91% （ 10/11 ）. Conclusion Angioplasty with micro-balloon dilatation is a safe and effective treatment for arteriosclerosis obliterans of the infra-popliteal arteries witb satisfaetory short-term therapeutic effect.

关 键 词：下肢动脉闭塞性疾病 膝下动脉 血管成形术 微球囊 

分 类 号：R543.5[医药卫生—心血管疾病]