| 李威 杨坡 温晓斐 王凯 李任飞.下肢动脉硬化闭塞症血管成形术的疗效观察[J].,2014,14(32):6273-6277 |
| 下肢动脉硬化闭塞症血管成形术的疗效观察 |
| Angioplasty of Arterial Obliterans of Lower Extremity: A TherapeuticObservation |
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| DOI： |
| 中文关键词: 下肢动脉硬化闭塞症 腔内血管成形术 血管支架植入术 |
| 英文关键词: Arterial obliterans of lower extremity (AOLE) Percutaneous transluminal angioplasty (PTA) Endovascular stent
implantation |
| 基金项目:黑龙江省教育厅资助项目（11551284）；黑龙江省青年科学基金项目（QC2009C03）；黑龙江省卫生厅资助项目（2010-127） |
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| 中文摘要: |
| 目的：探讨血管成形术治疗下肢动脉硬化闭塞症的临床应用价值。方法：对我院78 例下肢动脉硬化闭塞患者的临床资料进
行回顾性分析。78例患者(98 条血管)术前经CTA 诊断后，行腔内血管成形术(PTA)和血管支架植入术治疗，治疗后随访1～18个
月，分析踝/肱指数(ABI)、血管内径、皮温及足背动脉搏动的变化。结果：成功完成77 例(98.7 %)患者、97 条(99.0 %)患肢的PTA
和支架植入术，除1 例下肢动脉完全闭塞患者导丝未能成功通过病变导致介入失败外，其余病例经介入治疗后均开通，术中所有
病例均未发生血肿、血管壁破裂、穿孔或内支架移位，远端血管血栓栓塞等并发症。术后，患者下肢缺血症状消失或明显减轻，踝/
肱指数(ABI)由术前(0.39± 0.23)恢复至(0.86± 0.26)，下肢血管内径及足背动脉搏动均明显改善。结论：PTA 和血管支架植入术是
一种治疗下肢动脉硬化闭塞症安全有效的方法，成功率高，并发症少，再狭窄率低。 |
| 英文摘要: |
| Objective:To investigate the clinical effects of percutaneous transluminal angioplasty (PTA) and endovascular stent
implantation on arterial obliterans of lower extremity(AOLE).Methods:78 patients (98 vessels) with AOLE who were diagnosed by CTA
before PTA accepted interventional therapy, including percutaneous transluminal angioplasty (PTA) and placement of stent. The
follow-up interval ranged 1 to 18 months. The diversification of the ankle-to-brachial index, diameter of vessel, skin temperature and
pulsation of dorsalis pedis artery were analyzed.Results:The procedure was successful in 77 patients (98.7 %) with 97 vessels without
major complications. Except for 1 patient with arterial wholly occlusive lower limbs, the patients' therapy was successful, their clinical
symptoms were improved or disappeared，and the ankle/brachial index increased fromS 0.39 ± 0.23 to 0.86 ± 0.26 after treatment,
obvious improvement were found in the diameter of vessel and the pulsation of dorsalis pedis artery. Conclusion:PTA and stent
implantation were safe and effective in the treatment of AOLE with fewer complications and lower restenosis rate. |
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