腔内治疗下肢动脉硬化闭塞症的可行性和效果  

Feasibility and efficacy of endovascular treatment for atherosclerosis obliterans of lower extremity

作　　者：张宏光[1] 韩冰[1] 周辰光[1] 吉国辉[1] 扬铮 张亮[1] 赵磊[1] 范忠臣[1] 牛秀兰 

机构地区：[1]保定市第二医院血管外科,保定071051 [2]保定市95866部队门诊部,保定071051

出　　处：《中华老年多器官疾病杂志》2016年第3期202-205,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的探讨下肢动脉硬化闭塞症（ASO）腔内治疗的方法及疗效。方法回顾性地分析2009年6月至2013年6月保定市第二医院血管外科收治的132例（136条肢体）行腔内治疗的下肢ASO患者的临床资料及随访情况。结果技术成功率为98．5％（134／136），并发症发生率为5．30％（7／132），无围术期死亡。术后踝肱指数（ABI）显著高于术前，差异具有统计学意义（0．84±0．15VS0．45±0．13，P〈0．001）。术后6，12，24个月肢体1期通畅率分别为93．28％（125／134）、88．06％（118／134）和65．91％（87／132）；术后12和24个月肢体累积2期通畅率分别为92．54％（124／134）和68．94％（91／132）。术后24个月肢体保全率为100．00％（132／132）。结论腔内治疗下肢ASO成功率高、并发痒少。Objective To determine the feasibility and efficacy of endovascular treatment for atherosclerosis obliterans （ASO） of lower extremity. Methods Clinical data of 132 patients （136 limbs） with ASO of lower extremity undergoing endovascular treatment in the Department of Vascular Surgery of Baoding Second Hospital from June 2009 to June 2013 were collected. The endovascular treatment techniques, perioperative characteristics, clinical outcome, complications and follow-up results were analyzed. Results Our technical success rate was 98.5%（134/136）, the incidence of complications was 5.15%（7/136）, and no peri-operative death was observed in the cohort. The ankle-brachial index （ABI） was increased from 0.45 ± 0.13 pre-operatively to 0.84 ±0.15 after treatment （P 〈 0.001）. The primary patency rates were 93.28%（125/134）, 88.06%（118/134） and 65.91%（91/132） at 6, 12 and 24 months, respectively. The secondary patency rates were 92.54%（124/134） and 68.94%（91/132） at 12 and 24 months, respectively. The limb salvage rate was 100.00%（132/132） at 24 months after surgery. Conclusion Endovascular treatment is an approach of high success rate and few complication for ASO of lower extremity.

关 键 词：闭塞性动脉硬化 股动脉 血管成形术 

分 类 号：R543.5[医药卫生—心血管疾病]