下肢动脉硬化闭塞症的介入治疗效果及其影响因素分析  

Study on the Effect and Influencing Factors of Interventional Therapy for Lower Extremity Arterial Occlusive Disease

作　　者：李斌[1] 钟志雄[1] 张奇峰[1] 

机构地区：[1]广东省梅州市人民医院,广东梅州514031

出　　处：《河北医学》2013年第3期365-367,共3页Hebei Medicine

摘　　要：目的:探讨介入手术治疗下肢动脉硬化闭塞症的疗效,并进一步探讨影响术后复发的相关因素。方法:对2009年1月至2010年7月期间患有下肢动脉闭塞症的38例患者,根据其病程和病变血管的具体情况,进行介入治疗,术后随访18个月,分期观察患者术后血管通畅性及复发的影响因素。结果:38例患者介入治疗通畅率分别为:髂动脉血管96%,股动脉血管97%,腘动脉及以下血管96%;随访后发现术后下肢血管通畅率随着时间的延长而明显降低(P﹤0.05);独立影响介入手术后复发的因素是糖尿病(OR=2.75,95%CI:1.43-3.88)和高血压(OR=1.96,95%CI:1.27-2.68)。结论:介入治疗下肢动脉硬化闭塞症安全、有效,术后注意控制血糖与血压有助于降低复发率。Objective： To evaluate the effect and influencing factors after undergoing operation through interventional therapy for lower extremity arterial occlusive disease.Method： From January 2009 to July 2010,38 patients with lower extremity arterial occlusive disease were given interventional therapy,the correlation factors and patency rate of popliteal artery following vascular（primary vascular） and superficial femoral artery were analyzed after 18 months follow-up.Result： The success rate of 38 patients in was 96% with iliac arteries,97% with strands of arterial,96% with popliteal artery blood vessels.After follow-up,vascular patency rate reduce with the time lasted（P﹤0.05）.The chi-square analysis and multivariate Logistic regression analysis showed that reduced patency rates of lower extremity arterial occlusive disease were related to diabetes（OR=2.75,95%CI：1.43-3.88） and hypertension（OR=1.96,95%CI：1.27-2.68）.Conclusion： The results about the use of interventional therapy for lower extremity arterial occlusive disease is safe and effective.The clinical effect will be improved,if the influencing factors under control effectively.

关 键 词：下肢动脉硬化闭塞症 介入治疗 疗效 影响因素 

分 类 号：R543.5[医药卫生—心血管疾病]