主髂动脉闭塞症腔内治疗的单中心回顾性研究  

A single-center retrospective study of endovascular treatment of aortoiliac occlusive disease

作　　者：冉峰[1] 岳彦宇 高政 张业鹏[1] 于同[1] 李晓强 Ran Feng;Yue Yanyu;Gao Zheng;Zhang Yepeng;Yu Tong;Li Xiaoqiang(Department of Vascular Surgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing Medcial School,Nanjing 210008,China;Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院血管外科,南京210008 [2]南京中医药大学鼓楼临床医学院,南京210008

出　　处：《中国血管外科杂志（电子版）》2022年第3期213-216,共4页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的探讨腔内治疗主髂动脉闭塞症(aortoiliac occlusive disease,AIOD)的疗效。方法回顾性分析2018年3月至2022年1月南京鼓楼医院血管外科收治并行腔内治疗的265例AIOD患者(385处闭塞血管)的临床资料。结果383处闭塞段血管完全开通,闭塞血管开通率为99.48%。患者间歇性跛行、患肢疼痛发凉等症状均得到明显改善。术后230例患者获得随访,随访时间为1~47个月,平均随访时间(24.0±4.3)个月。患者术后1年通畅率为91.30%(210/230),2年通畅率为89.91%(205/228),3年通畅率为86.34%(196/227);平均通畅率为89.18%。随访期间复发18例,其中7例实施支架再植入,4例实施导管溶栓并经皮腔内血管成形术,7例予以抗凝扩血管抗血小板保守治疗。结论腔内治疗AIOD的短中期通畅率满意,是AIOD患者的有效治疗方式。Objective To investigate the effects of endovascular treatment of aortoiliac occlusive disease(AIOD).Methods The clinical data of 265 patients with AIOD(385 occluded vessels)admitted to the Department of Vascular Surgery of Nanjing Drum Tower Hospital and received endovascular treatment from March 2018 to January 2022 were analyzed retrospectively.Results 383 occluded vessels were completely opened,and the occlusion rate was 99.48%.The patient's symptoms such as intermittent claudication,pain and cold of limbs were significantly improved.230 patients were followed up after operation,and the follow-up time ranged from 1 to 47 months,with an average time of(24.0±4.3)months.The patency rate at one year,two year and three year was 91.30%(210/230),89.91%(205/228)and 86.34%(196/227),respectively,and the average patency rate was 89.18%.During the follow-up period,18 patients recurred,of which 7 patients underwent stent reimplantation,4 patients underwent catheter thrombolysis and percutaneous intraluminal angioplasty,and 7 patients were treated with conservative treatments of anticoagulantion,vasoconodilation,and antiplatelet therapy due to mild symptoms.Conclusion The short-and med-term patency rates of endovascular treatment of AIOD is satisfactory,and it is an effective treatment for AIOD patients.

关 键 词：动脉闭塞 主髂动脉 腔内治疗 溶栓 

分 类 号：R543.5[医药卫生—心血管疾病]