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中华普通外科学文献(电子版) ›› 2010, Vol. 04 ›› Issue (06) : 535 -538. doi: 10.3877/cma.j.issn.1674-0793.2010.06.008

所属专题: 文献

论著

腔内介入治疗在下肢动脉硬化闭塞症中的应用
陈剑秋1,(), 吴义生1, 李学东1, 李艳奎1, 李宝玉1, 孙晋津1   
  1. 1. 300211 天津医科大学第二医院血管外科
  • 收稿日期:2010-03-16 出版日期:2010-12-01
  • 通信作者: 陈剑秋

Endovascular treatment in lower extremities arteriosclerosis disease (LEAD)

Jian-qiu CHEN1,(), Yi-sheng WU1, Xue-dong LI1, Yan-kui LI1, Bao-yu LI1, Jin-jin SUN1   

  1. 1. Department of Vascular Surgery, the Second Hospital of Tian-jin Medical University, Tianjin 300211, China
  • Received:2010-03-16 Published:2010-12-01
  • Corresponding author: Jian-qiu CHEN
  • About author:
    Corresponding author: CHEN Jian-qiu, Email:
引用本文:

陈剑秋, 吴义生, 李学东, 李艳奎, 李宝玉, 孙晋津. 腔内介入治疗在下肢动脉硬化闭塞症中的应用[J]. 中华普通外科学文献(电子版), 2010, 04(06): 535-538.

Jian-qiu CHEN, Yi-sheng WU, Xue-dong LI, Yan-kui LI, Bao-yu LI, Jin-jin SUN. Endovascular treatment in lower extremities arteriosclerosis disease (LEAD)[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(06): 535-538.

目的

评价腔内介入治疗在下肢动脉硬化闭塞症中的应用价值。

方法

回顾性分析本院2006年3月至2009年9月腔内介入治疗的90例下肢动脉硬化闭塞症患者的临床资料,并随访其疗效。

结果

全组手术成功率94.4%(85/90),与治疗前比较,踝/肱指数平均升高0.22±0.15,差异有统计学意义(P<0.05)。随访时间3~36个月,随访率96.7%(87/90),术后3、6、12、30月分别有1例、2例、6例、4例复发,其中10例行二次介入手术后好转;3例行截肢/足手术,其中膝上截肢1例,膝下截肢1例,跖骨截除1例。随访期截肢率3.3%(3/90),死亡率为3.3%(3/90)。

结论

腔内治疗下肢动脉硬化闭塞症创伤小、恢复快,可重复操作,近期疗效满意,远期疗效尚待进一步观察。

Objective

To assess the value of endovascular intervention in treating patients with lower extremity arteriosclerotic occlusive disease.

Methods

Ninty patients who underwent the interventional treatments from March 2006 to September 2009 were analyzed retrospectively.

Results

The total technical success rate was 94.4%(85/90). Compared with the treatment before, average ankle brachial index(ABI) elevation was 0.22±0.15(P<0.05). Eighty-seven patients (96.7%) were followed up from 3 months to 36 months postoperatively. One patients, 2 patients,6 patients, 4 patients were respectively recurrent in 3, 6, 12, 30 months. Ten patients were improved after second interventional treatment, 1 patients with a major amputation, 1 patients with a minor amputation, 1 patients with metatarsal surgical amputation. Amputation rate during follow-up period was 3.3% (3/90), mortality was 3.3% (3/90).

Conclusion

The endovascular treatment of lower extremity arteriosclerotic occlusive disease is safe, effective, mini-invasive, and repetitive, but its long-term investigation is needed.

1
Dormandy JA,Rutherford RB. Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic InterSociery Consensus(TASC). J Vasc Surg, 2000, 31(1 pt 2): S1-S296.
2
Norgren L,Hiatt WR,Dormandy JA, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg, 2007, 33(Suppl 1): S1-S75.
3
中华医学会老年医分会. 下肢动脉粥样硬化疾病诊治中国专家建议(2007). 中华老年医学杂志, 2007, 26(10): 725-740.
4
汪忠镐. 下肢动脉硬化闭塞症的微创介入治疗. 中国微创外科杂志, 2008, 8(12): 1057-1060.
5
中华医学会外科学分会血管外科学组. 下肢动脉硬化性闭塞症治疗指南. 中国实用外科杂志, 2008, 28(11): 923-924.
6
沈晨阳,赵克强,李伟, 等. 358例下肢动脉硬化闭塞症外科治疗效果分析. 中华普通外科杂志, 2008, 23(3): 197-199.
7
王玉琦,岳嘉宁,符伟国. 下肢动脉硬化闭塞症的外科治疗进展. 中华临床医师杂志:电子版, 2009, 3(2): 179-183.
8
吴庆华,陈忠,唐小斌, 等. 267例主髂动脉闭塞的手术治疗经验. 中华外科杂志, 2001, 39(11): 832-834.
9
Schillinger M,Sabeti S,Lcewe C, et al. Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Ensl J Med, 2006, 354(18): 1879-1888.
10
Dorros G,Jaff MR,Dorros AM, et al. Tibioperoneal (outflow lesion) angioplasty can be used as primary treatment in 235 patients with critical limb ischemia: five-year follow-up. Circulation, 2001, 104(17): 2057-2062.
11
Graziani L,Silvestro A,Bertone V, et al. Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity. Eur J Vasc Endovasc Surg, 2006, 33(4): 453-460.
12
Fusaro M,Tashani A,Mollichelli N, et al. Retrograde pedal artery access for below-the-knee percutaneous revascularisation. J Cardiovasc Med (Hagerstown). 2007, 8(3): 216-218.
13
Montero-Baker M,Schmidt A,Br unlich S, et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther, 2008, 15(5): 594-604.
14
刘昌伟. 股腘动脉硬化闭塞症治疗方法的合理选择和评价. 中华实用外科杂志, 2008, 28(10): 842-844.
15
Martens JM,Knippenberg B,Vos JA, et al. Update on PADI trial: percutaneous transluminal angioplasty and drug-eluting stents for infrapopliteal lesions in critical limb ischemia. J Vasc Surg, 2009, 50(3): 687-689.
16
Karnabatidis D,Katsanos K,Siablis D. Infrapopliteal stents: overview and unresolved issues. J Endovasc Ther, 2009, 16(Suppl 1): 1153-1162.
17
Met R,Van Lienden KP,Koelemay MJ, et al. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol, 2008, 31(4): 687-697.
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