PTA及血管内支架在治疗下肢动脉硬化闭塞症的应用价值观察  

Application Value Observation of PTA and Endovascular Stent in Treatment of Arteriosclerosis Obliterans of Lower Limbs

作　　者：叶远鹏 禄韶英[1] YE Yuanpeng;LU Shaoying(Xi'an Jiaotong University The First Affiliated Hospital,Xi'an,Shaanxi 710061)

机构地区：[1]西安交通大学第一附属医院,陕西西安710061

出　　处：《智慧健康》2023年第5期171-174,共4页Smart Healthcare

摘　　要：目的 对下肢动脉硬化闭塞症患者实施PTA(transdermal angioplasty)及血管内支架治疗的效果进行研究。方法 本研究为回顾性分析,研究时间起始于2019年11月-2021年11月。研究内容:从该时间内在本院接收的下肢动脉硬化闭塞症患者中选200例实施分析。依据患者治疗方式的不同进行分组。普通球囊扩张治疗方法纳入(100例)常规组;普通球囊扩张后结合血管内支架治疗模式纳入(100例)研究组。对200例患者的治疗效果、踝肱指数、发生不良事件等指标实施比较分析。结果 研究组下肢动脉硬化闭塞症患者的治疗有效率明显比常规组高,可见2组之间明显差异(P<0.05);在治疗前,观察组踝肱指数为(0.64±0.29)与对照组(0.63±0.27)相比,未见明显差异(P>0.05);在治疗后的6个月,组间踝肱指数对比,研究组(0.75±0.26)优于常规组(0.61±0.16)(P<0.05);研究组下肢动脉硬化闭塞症患者的躯体功能(53.20±7.30)分、角色功能(54.05±6.15)分、情感功能(70.40±5.41)分、社会功能(63.45±8.36)分,均高于常规组组间明显差异(P<0.05)。结论 下肢动脉硬化闭塞症患者实施普通球囊扩张后结合血管内支架治疗模式治疗的效果明显,不仅可以使患者的治疗有效率得到有效提升,还可以使其住院时间减少,而且能够使其发生不良事件情况减少,并且提高其生活质量,值得临床进一步推广和研究。Objective To study effect of PTA(Transdermal Angioplasty)and endovascular stent therapy on patients with arteriosclerosis obliterans of lower extremities.Methods The study carried on retrospective analysis,study period was from November 2019 to November 2021.Research content:200 cases arteriosclerosis obliterans patients of lower limbs in our hospital during the period.The paper divided them into groups according to treatment methods.Routine group(100 cases)was treated with routine balloon dilatation therapy,and study group(100 cases)with common balloon dilation combined with intravascular stent.Treatment effect,ankle brachial index,adverse events incidence,and other indicators was compared and analyzed.Results Effective treatment rate of patients with lower limb arteriosclerosis obliterans in study group reached 90(90.00%),significantly higher than routine group by 72(72.00%),indicating significant difference between two groups(P<0.05).Before treatment,there was no significant difference in ankle brachial index between observation group(0.64±0.29)and control group(0.64±0.29),P>0.05.6 months after treatment,comparison showed that ankle brachial index of study group(0.75±0.26)was better than routine group(0.61±0.16),(P<0.05).Scores of physical function(53.20±7.30),role function(54.05±6.15),emotional function(70.40±5.41),and social function(63.45±8.36)in study group were higher than routine group,(P<0.05),indicating significant difference between the groups.Conclusion Routine balloon dilation combined with intravascular stent therapy can achieve significant effect for patients with arteriosclerosis obliterans of lower extremities,can improve treatment effectiveness effectively,reduce length of stay,reduce adverse events incidence,and improve life quality of patients,which is worthy of further clinical promotion and research.

关 键 词：下肢动脉硬化闭塞症 PTA治疗 血管内支架治疗 生活质量 

分 类 号：R654.4[医药卫生—外科学]