内膜下再通术治疗锁骨下动脉闭塞性疾病  

Subintimal recanalization for occlusive lesions of subclavian artery of 25 cases

作　　者：王丽[1] 陈玉玺[1] 潘晶晶[1] 王晓莉[1] 

机构地区：[1]潍坊医学院医学影像学系,山东潍坊261053

出　　处：《实用医药杂志》2014年第2期112-114,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的 探讨内膜下再通术（SIR）治疗锁骨下动脉闭塞性疾病的临床效果.方法 回顾性分析2010年05月-2013年01月笔者所在医院锁骨下动脉闭塞患者45例,25例（介入组）行内膜下再通术接受经皮血管成形＋支架置入治疗；20例采用人工血管旁路移植手术治疗,为手术组.结果 两组治疗成功率100％,术后即刻桡动脉搏动恢复正常.介入组术前、术后健/患侧上肢的动脉收缩压比分别为0.67±177;0.15、0.96±177;0.12（t=8.03,P＜0.05）；手术组为0.64±177;0.17、0.92±177;0.11 （t=9.41,P＜0.05）；随访5～31个月,介入组2例支架内血栓形成,1例轻微上肢功能障碍,手术组人工血管均保持通畅.结论 介入内膜下再通术和手术是治疗锁骨下动脉狭窄或闭塞性疾病安全有效的方法,介入治疗具有微创的特点,可作为一线治疗方法.Objective To investigate the clinical effect of subintimal recanalization method for occlusive lesions of subclavian artery. Methods From May 2010 to January 2013,PTA and endovascular stent was performed on 25 patients （intervention group） using subintimal recanalization method,20 patients （surgery group） received surgical procedures. Results The overall treatment success rate was of 100%,after operation radial artery pulse imme-diately returned to normal,the intervention group before surgery,and health / upper limb arterial systolic pressure ratios were 0.67±0.15,0.96±0.12（t=8.03,P〈0.05）; surgery group 0.64±0.17,0.92±0.11（t= 9.41,P〈 0.05） ;Follow-up of 5-31 months,in surgery group 2 cases reeurrenced in thrombus,1 case had slight discomfort of supper limbs,22 cases had well;in surgery group artificial blood vessels had been kept open. Conclusion Both interventional subintimal recanalization treatment and surgery all are of effective options for occlusive lesions of subclavian artery,and interventional therapy is preferred for less invasiveness.

关 键 词：锁骨下动脉闭塞 支架植入 介入治疗 手术治疗 人工血管旁路移植 

分 类 号：R543.5[医药卫生—心血管疾病]