经皮腔内血管成形术治疗下肢动脉硬化闭塞症的有效性及安全性  

The Effectiveness and Safety of Percutaneous Transluminal Angioplasty in the Treatment of Lower Extremity Arteriosclerosis Obliterans

作　　者：谢澎 郭怡 XIE Peng;GUO Yi(Department of Hepatobiliary and Vascular Surgery,521 Hospital of Norinco Group,Xi'an 710000,Shaanxi,China)

机构地区：[1]兵器工业五二一医院肝胆血管外科,陕西西安710000

出　　处：《医学信息》2021年第8期103-105,共3页Journal of Medical Information

摘　　要：目的探析经皮腔内血管成形术(PTA)不同术式治疗下肢动脉硬化闭塞症(ASO)的效果和安全性。方法回顾性选择2017年2月~2020年5月我院血管外科收治的105例ASO患者的临床资料,根据PTA不同术式分为研究组(55例)和对照组(50例)。对照组采取球囊扩张术,研究组采取经皮血管内支架成形术,比较两组术后踝肱指数(ABI)、跛行距离、治疗效果及术后并发症发生情况。结果研究组术后1个月、3个月、6个月ABI及跛行距离均优于对照组,差异有统计学意义(P<0.05);研究组治疗总有效率为94.55%,高于对照组的90.00%,但差异无统计学意义(P>0.05);研究组术后并发症为3.64%,低于对照组的16.00%,差异有统计学意义(P<0.05)。结论PTA中球囊扩张术和经皮血管内支架成形术治疗PAD的效果基本一致,但后者能更好的改善踝肱指数,提高跛行距离,且并发症少。Objective To explore the effect and safety of different surgical methods of percutaneous transluminal angioplasty(PTA)in the treatment of lower extremity arteriosclerosis obliterans(ASO).Methods The clinical data of 105 ASO patients admitted to our hospital from February 2017 to May 2020 were selected retrospectively,and were divided into study group(55 cases)and control group(50 cases)according to different procedures of PTA.The control group took balloon dilatation,and the study group took percutaneous stent angioplasty.The postoperative ankle-brachial index(ABI),claudication distance,treatment effect and postoperative complications were compared between the two groups.Results The study group's ABI and claudication distance were better than those of the control group at 1 month,3 months,and 6 months after operation,the difference was statistically significant(P<0.05);The total effective rate of treatment in the study group was 94.55%,which was higher than 90.00%in the control group,but the difference was not statistically significant(P>0.05);The postoperative complications in the study group were 3.64%,which was lower than 16.00%in the control group,the difference was statistically significant(P<0.05).Conclusion Balloon dilatation and percutaneous endovascular stenting in PTA have basically the same effects in the treatment of PAD,but the latter can better improve the ankle-brachial index,increase the claudication distance,and have fewer complications.

关 键 词：球囊扩张术 经皮血管内支架成形术 下肢动脉硬化闭塞症 踝肱指数 

分 类 号：R543[医药卫生—心血管疾病] R815[医药卫生—内科学]