头臂型大动脉炎介入治疗的效果分析  

Analysis of effect of interventional treatment for brachiocephalic arteritis

作　　者：刘一人[1] 崔世军[1] 郭连瑞[1] 齐立行[1] 齐一侠[1] 郭建明[1] 谷涌泉[1] LIU Yiren;CUI Shijun;GUO Lianrui;QI Lixing;QI Yixia;GUO Jianming;GU Yongquan(Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院血管外科首都医科大学血管外科研究所

出　　处：《中国医药导报》2019年第13期143-146,共4页China Medical Herald

基　　金：国家重点研发计划生物医用材料研发与组织器官修复替代重点专项项目(2017YFC1104100);北京市医院管理局临床技术创新项目(扬帆计划)(XMLX201610);北京市医院管理局“登峰”人才培养计划(DFL20150801);首都卫生发展科研专项项目(首发2016-1-2012);北京市优秀人才培养青年骨干个人项目(2016000020124G108);北京市属医院科研培育计划(PX2018035)

摘　　要：目的探讨血管腔内成形术治疗头臂型大动脉炎的临床效果。方法收集2005年4月~2017年6月首都医科大学宣武医院19例头臂型大动脉炎患者临床资料,所有患者均采用球囊扩张或支架植入术治疗。结果所有患者均施行球囊扩张或支架植入术,手术成功。颈总动脉、锁骨下动脉及椎动脉球囊扩张分别为11、9、1例,无名动脉、颈总动脉、锁骨下动脉及椎动脉支架置入分别为1、1、2、1例。随访12~98个月,其中随访时间≥1年19例,≥2年17例,≥3年~<5年9例,≥5年8例。所有患者症状得到改善,其中头晕改善10例,视物模糊改善4例,黑曚改善3例,言语不清改善3例,上肢发凉改善2例。在随访过程中,1例患者于术后12个月死于脑出血,1例于术后13个月死于鼻咽癌,1例子于术后25个月失访。结论血管腔内成形术治疗头臂型大动脉炎患者安全,且效果良好。Objective To explore the clinical efficacy of endovascular angioplasty therapy for brachiocephalic arteritis. Methods The clinical data of 19 patients with brachiocephalic arteritis in Xuanwu Hospital, Capital Medical University from April 2005 to June 2017 were analyzed. All patients underwent balloon dilatation or stent implantation treatment. Results All patients underwent balloon dilatation or stent implantation, and the operation was successful. Balloon dilatation of common carotid artery, subclavian artery and vertebral artery were 11, 9 and 1 cases respectively, and stent implantation of nameless artery, common carotid artery, subclavian artery and vertebral artery were 1, 1, 2 and 1 case respectively. The follow-up period ranged from 12 to 98 months, of which 19 cases were followed up for more than 1 year, 17 cases for more than 2 years, 9 cases for more than 3 years to less than 5 years and 8 cases for more than 5 years. The symptoms of all patients were improved, including dizziness in 10 cases, blurred vision in 4 cases, dark quinone in 3 cases, unclear speech in 3 cases, and upper limb cooling in 2 cases. During the follow-up period, 1 patient died of cerebral hemorrhage 12 months after operation, 1 patient died of nasopharyngeal carcinoma 13 months after operation, and 1 patient lost follow-up 25 months after operation. Conclusion Endovascular angioplasty is safe and effective in the treatment of brachiocephalic arteritis.

关 键 词：头臂型大动脉炎 血管成形术 介入治疗 

分 类 号：R543.5[医药卫生—心血管疾病]