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血管腔内成形术治疗膝下动脉狭窄或闭塞

柳松1,王卫2   

  1. 1. 天津市公安医院
    2.
  • 收稿日期:2011-01-21 修回日期:2011-04-16 出版日期:2011-08-15 发布日期:2011-08-15
  • 通讯作者: 柳松

Percutaneous transluminal angioplasty for the treatment ofchronic arterial occlusive disease below the knee

  • Received:2011-01-21 Revised:2011-04-16 Published:2011-08-15 Online:2011-08-15

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摘要： 摘要 目的： 探讨血管腔内成形术（PTA）治疗膝下动脉狭窄或闭塞的临床疗效。方法： 回顾性分析2008年6月到2009年7月我科采用PTA治疗的39例（43条患肢）膝下动脉狭窄或闭塞患者的临床资料。结果： 40条患肢PTA治疗成功，技术成功率为92%（40/43），平均随访8（3～18）个月，踝肱指数（ABI）由术前的0.41±0.12上升至0.82±0.05（P<0.01）,总体肢体保全率为91.4%。无住院死亡，并发症发生率为13%（6/43）。结论： PTA治疗下肢动脉狭窄或闭塞短期内具有较好的临床疗效，可以明显减少截肢率，是一种治疗膝下动脉病变致下肢缺血有效且安全的方法。

关键词: 血管腔内成形术, 介入放射学, 动脉闭塞性疾病

Abstract: Abstract Objective: To evaluate the clinical effects of Percutaneous transluminal angioplasty(PTA) in the treatment of infrapopliteal arterial occlusive disease.Methods: The data of 39 patients(43limbs) who underwent infrapopliteal PTA from Jun 2008 to July 2009 in our hospital were reviewed.Results: Procedures were performed on 40 of 43 limbs(92%) successfully. During a mean follow up time of (8 range,3~18) months, ankle-brachial index (ABI) was increased from 0.41±0.12 before PTA to 0.82±0.05 after PTA（P<0.01）.There was no death in hospital The limb salvage rate and complication rate was 91.4% and 13%(6/43),respectively.Conclusion: Infrapopliteal PTA can be performed with favorable clinical results in patients with chronic occlusive disease and reduce the amputation rate.PTA should be considered as an effective and safe therapy for lower extremity ischemia caused by infrapopliteal occlusive disease.

Key words: Percutaneous transluminal angioplasty, Interventional radiology, Arterial occlusive disease