髂股动脉硬化闭塞症的介入治疗

Interventional Therapy For Iliofemoral Artery Stenosis Or Occlusion Disease

目的评价髂股动脉硬化闭塞性病变的介入治疗的疗效,总结其适应症,探讨并发症的防治。方法回顾性分析62例髂股动脉狭窄或闭塞的血管造影与介入治疗资料,其中急性发病18例,慢性发病44例;经球囊扩张或植入支架治疗,并进行临床及血管造影随访。结果62例患者介入治疗60例获成功,成功率达97%。获得成功治疗60例患者70条动脉,单纯球囊扩张42条动脉,术后血管直径可达正常的80%以上。球囊扩张后植入支架共有28条动脉。术后60例患者随访6～36个月。在随访中,绝大部分患者临床表现好转。术后6个月有1例、术后12、24、36个月各有2例症状反复,血管彩超及DSA造影检查提示均在原狭窄处又出现不同程度狭窄,4例行球囊扩张后缓解,3例植入支架后再通。结论髂股动脉介入治疗是一种安全有效的方法,成功率高,并发症少,再狭窄率低,可作为髂股动脉狭窄或闭塞的首选治方法。

Objective To evaluate the efficacy and safety of interventional therapy for iliofemoral artery stenosis or occlusion disease. Methods A retrospective study was conducted to review 62 patients after vascular imagings and interventional therapy. Eighteen of acute, 44 of chronic, all of them are treated with angioplasty and stent, with clinical follow-up and vascular imagings. Results Of 62 patients, 60 lesions were successfully treated with interventional therapy. Two patients were failed of long occlusion lesions.Angiographic folow-up was obtained in 60 patients at a mean of 15 months.Restenosis occurred in 7 patient, while others were free of it. Conclusion Interventional therapy for iliofemoral artery is a safe and effective method, and it is the first choice for iliofemoral arterial disease.