主髂动脉闭塞病变腔内治疗的疗效分析  

Analysis of effectiveness of endovascular treatment for aortoiliac occlusive disease

作　　者：董名扬 潘迪康 杨仲凯 王栋 冯亮 吕柏楠[1] 石晓明[1] Dong Mingyang;Pan Dikang;Yang Zhongkai;Wang Dong;Feng Liang;LüBonan;Shi Xiaoming(Department of Vascular Surgery,Hebei General Hospital,Shijiazhuang 050057,China;Graduate School,Hebei Medical University,Shijiazhuang 050011,China;Graduate School,North China University of Science and Technology,Tangshan 063210,China;Graduate School,Hebei North University,Zhangjiakou 075132,China)

机构地区：[1]河北省人民医院血管外科,石家庄050057 [2]河北医科大学研究生学院,石家庄050011 [3]华北理工大学研究生学院,河北唐山063210 [4]河北北方学院研究生学院,河北张家口075132

出　　处：《中国血管外科杂志（电子版）》2022年第1期22-26,共5页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：河北省医学科学研究重点课题计划项目(20180012)。

摘　　要：目的分析腔内治疗主髂动脉闭塞病变(aortoiliac occlusive disease,AIOD)的临床疗效。方法回顾性分析2014年1月至2019年6月河北省人民医院接受腔内治疗的91例AIOD患者资料。比较覆膜支架和裸支架的免于再干预情况,以及是否采用减容手段后的支架植入情况。结果患者均成功行腔内治疗,技术成功率100%。83例患者术中植入支架,其中覆膜支架35例,裸支架48例,两组患者术后2年再干预率差异有统计学意义(2.9%vs 16.7%,P=0.047)。术前行减容治疗患者36例,未行减容治疗患者55例,两组患者术中支架植入率差异有统计学意义(83.3%vs 96.4%,P=0.028)。结论腔内治疗AIOD的安全性和有效性确切,其中覆膜支架的再干预率更低,且减容手段可减少患者的支架植入。Objective To analyze the clinical efficacy of endovascular treatment for aortoiliac occlusive disease(AIOD).Methods The clinical data of 91 AIOD patients who received endovascular treatment in Hebei General Hospital from January 2014 to June 2019 were analyzed retrospectively.The free from re-intervention rate of covered-stent and bare stent,as well as stent implantation rate with or without debulking were compared.Results All patients underwent endovascular treatment successfully,and the technical success rate was 100%.Stents were implanted in 83 patients,including 35 covered-stents and 48 bare stents.The difference of two-year re-intervention rate was statistically significant between the two groups(2.9%vs 16.7%,P=0.047).There were 36 patients who underwent debulking treatment before surgery and 55 patients who did not undergo debulking treatment.The difference of stent implantation rate was statistically significant between the two groups(83.3%vs 96.4%,P=0.028).Conclusion The safety and efficacy of endovascular treatment for AIOD are definite.The re-intervention rate of covered-stents is lower,and the debulking technique can reduce the stent implantation rate of patients.

关 键 词：主髂动脉闭塞 腔内治疗 支架 疗效 

分 类 号：R654.3[医药卫生—外科学]