复合技术治疗下肢动脉硬化疗效分析  

The efficacy of combined procedures for arteriosclerosis obliterations

作　　者：吴斐[1] 刘俊超[1] 王洛波 丁语[1] 李攀峰[1] 李阳[1] 王兵[1] 

机构地区：[1]郑州大学第五附属医院血管外科,450052

出　　处：《实用医学杂志》2016年第8期1308-1310,共3页The Journal of Practical Medicine

基　　金：河南省医学科技攻关计划重点项目(编号:201202015)

摘　　要：目地：探讨多节段下肢动脉硬化的治疗手段及临床疗效。方法：2014年3月至2014年9月,用复合技术对30例（30条患肢）多节段下肢动脉硬化患者行血运重建,30例患者均行血管腔内技术,20例行动脉内膜剥脱术,10例行动脉取栓术,8例加行股深动脉成形术。观察技术成功率,并发症发生率。随访6~12个月,观察整体通畅率和救肢率。结果：技术成功率为100%,围手术期并发症发生率为30%（9/30）。术后29例患者均有不同程度症状改善,临床成功率为96.67%,踝肱指数平均提高了0.37±0.19（P〈0.05）。术后6、12个月一期通畅率分别为90%和73%,12个月救肢率为97.67%。结论：复合技术治疗多节段下肢动脉硬化具有较高的短-中期通畅率和救肢率。Objective To explore the treatment of multifocal lower extremity arteriosclerosis obliterations.Methods From March 2014 to September 2014,combined procedures were performed on 30 lower limbs in 30 patients with multifocal lower extremity arteriosclerosis obliterations for revascularization.All the patients underwent endovascular,20 of whom received endarterectomy,10 received artery emboloctomy,and 8 received profundaplasty.The rates of technical success and clinical success were observed.The patients were followed up for 6-12 months to observe the total patency rate and rate of limb reservation.Results The technical success rate was 100%.The perioperative complication rate was 30%（9 / 30）.29 limbs gained improvement with different degree and the clinical success rate was 96.67%（29 / 30）.The ankle-brachial index elevated 0.37 ± 0.19 on average（P〈0.001）.Primary patency rate was 90% and 73% at 6 and 12 months,and 12-month limb reservation rate was 97.67%.Conclusions The combined procedures for complex lower extremity arteriosclerosis obliterations have a higher short-to mid-term patency rate and limb reservation rate.

关 键 词：下肢动脉硬化 复合技术 通畅率 

分 类 号：R654.4[医药卫生—外科学]