腔内支架成形术治疗髂股动脉长段闭塞的临床疗效观察  

Clinical Efficacy on Endovascular Stent Angioplasty Treatment for Long Occlusion Disease of Iliac-femoral Artery

作　　者：倪田强 孙顺吉[2] 蹇兆成[1] 刘峰[1] 王鹏[2] 孙业全[1] 

机构地区：[1]潍坊医学院医学影像学系,山东潍坊261053 [2]潍坊医学院附属医院血管介入科

出　　处：《潍坊医学院学报》2014年第3期235-237,F0003,共4页Acta Academiae Medicinae Weifang

摘　　要：目的：探讨腔内支架成形术在髂股动脉长段闭塞治疗中的可行性及临床疗效。方法回顾性分析2011年2月～2013年1月期间经CT血管造影（ CT angiography ，简称CTA）证实髂股动脉长段（＞10cm）狭窄或闭塞的15例患者共16条患肢的介入治疗资料。髂动脉闭塞2例（2条），股浅动脉闭塞13例（14条），闭塞长度为11．2～31．8（21．4±5．8）cm。15例均行腔内球囊扩张及支架成形术。结果15例16条患肢中有13例14条患肢闭塞动脉再通成功，14条患肢共植入支架25枚。13例患者临床症状均有不同程度好转，支架成形术后踝肱指数（ABI）由术前（0．32±0．12）升高至（0．7±0．20）。术后随访1年一期通畅率为71．4％．结论腔内支架成形术是治疗髂股动脉长段闭塞的一种创伤小、可行性强、近中期疗效好的治疗方法，可以作为髂股动脉长段闭塞的首选治疗手段。Objective To discuss endovascular stenting in the iliac and femoral artery occlusion long feasibility and clinical efficacy of the treatment .Methods A retrospective analysis of our department from February 2011 to January 2013 by CT angiography （ CT angiography,referred to as CTA） confirmed iliac and femoral arteries long segment （〉10cm） stenosis or occlusion of the 15 patients with a total of 16 limb involvement treatment data .Iliac artery occlusion in 2 cases（2 lower limbs）,13 cases of femoral artery occlusion （14 lower limbs）, the mean lesion length was （21.4±5.8）cm range 11.2-31.8cm.Fifteen cases underwent endovascular balloon dilatation and stenting .Results Occlusive arterial recanalization was successed in 13 cases including 14 limb.Twenty-five stents were implanted in 14 limbs.Thirteen cases of patients underwent clinical symptoms of varying degrees of improvement ,and stent angioplasty ankle-brachial index （ ABI） increased from preoperative （0.32 ±0.12） to （0.78 ±0.20）.The patency rate was 71.4%in patients followed up for 1 year.Conclusion Endovascular stenting is a minimally invasive treatment of arterial occlusion of the iliac and femoral length ,feasible,recent midterm efficacy of good treatment,as long iliac artery occlusion preferred method of treatment .

关 键 词：髂动脉 股动脉 长段闭塞 腔内支架成形术 

分 类 号：R815[医药卫生—放射医学]