血管腔内治疗重症下肢缺血的临床探讨  

Clinical Curative Effect of Endovascular Treatment of Patients with Severe Lower Limb Ischemia

作　　者：庄曦[1] 

机构地区：[1]福建中医药大学附属南平人民医院,福建南平353000

出　　处：《中外医疗》2015年第33期62-63,共2页China & Foreign Medical Treatment

摘　　要：目的探讨重症下肢缺血患者血管腔内治疗的临床疗效。方法研究对象选取整群该院2013年1月—2014年6月重症下肢缺血患者16例。回顾性分析16例患者(18肢)临床资料。其中10肢行球囊扩张成形术治疗,8肢在球囊扩张成形术治疗的基础上联合支架植入术治疗。结果经过手术治疗,该次研究中16例患者(18肢)手术成功率为83.33%(15/18),术前踝肱指数(ABI)为(0.32±0.10),跂行距离为(32.65±16.38)m,术后12个月患者踝肱指数(ABI)为(0.79±0.15),跂行距离为(259.36±38.58)。术后患者临床症状较术前明显改善,差异有统计学意义(P<0.05)。结论重症下肢缺血患者接受血管腔内治疗,疗效确切,手术安全性高,创伤小,患者耐受较好,术后未见严重并发症,具有极高的临床价值,值得进行推广应用。Objective To discuss the clinical curative effect of endovascular treatment of patients with severe lower limb ischemia. Methods 16 cases of patients with severe lower limb ischemia treated from January 2013 to June 2014 were se-lected as the research object and clinical materials of them （18 limbs） were retrospectively analyzed, 10 limbs were treated with balloon angioplasty, and 8 limbs were treated with balloon angioplasty combined with stent implantation. Results After treatment, the operation success rate of 16 cases （18 limbs） was 83.33%（15/18）, anterior ankle brachial index （ABI） was （0.32±0.10）, crawling distance was（32.65±16.38）m, 12 months after operation, anterior ankle brachial index（ABI） was （0.79± 0.15）, crawling distance was 259.36±38.58m, clinical symptoms of patients after operation were obviously improved compared with those before operation, and the difference was statistically significant （P〈0.05）. Conclusion The effect of endovascular treatment for patients with severe lower limb ischemia is definite with high security, small wound and good tolerance in pa-tients, there was no severe complications after operation and it has extremely high clinical value and is worth promoting.

关 键 词：血管腔内治疗 重症下肢缺血 球囊扩张成形术 支架植入术 

分 类 号：R5[医药卫生—内科学]