动脉粥样硬化致主髂动脉闭塞行腔内介入治疗的效果分析  

Analysis on effect of endovascular interventional therapy in atherosclerosis caused aortoiliac occlusion

作　　者：刘洋[1] 何春水[1] 张丽峰[1] 王科[1] 王奇奇 张宏伟[2] LIU Yang;HE Chunshui;ZHANG Lifeng;WANG Ke;WANG Qiqi;ZHANG Hongwei(Department of Vascular Surgery,Affiliated Hospital,Chengdu Unversty of Tradtonal Chninese Medcine,Chengdu,Sichuan610039,China;Department of Oncology,Ziyang Municipal First People′s Hospital,Ziyang,Sichuan641300,China)

机构地区：[1]成都中医药大学附属医院血管外科,610039 [2]四川省资阳市第一人民医院肿瘤科,641300

出　　处：《重庆医学》2021年第9期1507-1510,共4页Chongqing medicine

基　　金：四川省中医药管理局科研专项课题(2016C037)。

摘　　要：目的探讨腔内介入治疗运用于动脉粥样硬化致主髂动脉闭塞中的价值。方法选择成都中医药大学附属医院血管外科2015年3月至2018年3月收治的动脉粥样硬化致主髂动脉闭塞的患者68例,将其中接受腔内介入治疗的34例患者作为观察组,接受人工血管搭桥治疗的34例患者作为对照组,对比两组患者治疗结果。结果观察组与对照组患者治疗有效率比较,差异无统计学意义(94.12%vs.88.24%,P>0.05);但观察组患者并发症发生率明显低于对照组(8.82%vs.20.59%,P<0.05)。治疗前两组患者的下肢麻木、发凉、间歇性跛行及疼痛评分比较差异无统计学意义(P>0.05);与治疗前比较,治疗后两组患者各项评分均明显降低(P<0.05);但两组患者治疗后各项评分比较差异无统计学意义(P>0.05)。治疗前两组患者的食欲、精神、睡眠、疲乏、疼痛、日常生活评分比较差异无统计学意义(P>0.05);与治疗前比较,治疗后两组患者各项评分均明显升高(P<0.05),且治疗后观察组患者各项评分均高于对照组(P<0.05)。观察组与对照组患者术后6、12个月通畅率比较,差异无统计学意义(94.12%vs.91.18%、88.24%vs.85.29%,P>0.05);但观察组患者围术期病死率明显低于对照组(0 vs.8.82%,P<0.05)。结论腔内介入治疗动脉粥样硬化致主髂动脉闭塞的效果较好,且术后并发症少。Objective To investigate the value of endovascular interventional therapy used in atherosclerosis-caused aortoiliac occlusion.Methods Sixty-eight patients with atherosclerosis caused aortoiliac occlusion treated in the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2015 to March 2018 were selected,among them 34 cases of endovascular interventional therapy served as the observation group and 34 cases of artificial vascular bypass as the control group.The therapeutic effects were compared between the two groups.Results The effective rate had no statistically significantly difference between the two groups(94.12%vs.88.24%,P>0.05),but the occurrence rate of complications in the observation group was significantly lower than that in the control group(8.82%vs.20.59%,P<0.05).The differences in lower limb numbness,chilling,intermittent claudication and pain scores before treatment between the two groups were not significantly different(P>0.05);the scores of various items after treatment in the two groups were sharply reduced compared with those before treatment(P<0.05),but the difference in the score of each item after treatment between the two groups had no statistical significance(P>0.05).The scores of appetite,spirit,sleep,fatigue,pain and daily life before treatment had no statistically significant differences between the two groups(P>0.05);compared with before treatment,the scores of various items after treatment in the two groups were significantly increased(P<0.05),moreover the scores of various items after treatment in the observation group were higher than those in the control group(P<0.05).The postoperative 6-month and 1-year patency rates had no statistical difference between the two groups(94.12%vs.91.18%,88.24%vs.85.29%,P>0.05);but the perioperative mortality rate in the observation group wassignificantly lower than that in the control group(0 vs.8.82%,P<0.05).Conclusion The effect of endovascular intervention for treating atherosclerosis caused aortoiliac occlusion is g

关 键 词：主髂动脉闭塞 动脉粥样硬化 腔内介入治疗 人工血管搭桥 治疗结果 

分 类 号：R654.4[医药卫生—外科学]