长球囊成形术治疗膝下动脉闭塞性病变的疗效评价

The evaluation of long balloon PTA for infrapopliteal artery occlusive disease

目的评估长球囊成形术治疗膝下动脉闭塞性病变的疗效。方法对32例共35条下肢膝下动脉硬化闭塞性病变患者采用长球囊成形术治疗。结果成功治疗了29条下肢,技术成功率达82.9%。除1例于术后10天行踝上截肢术外,其余病例临床症状均有明显改善,足部溃疡或坏疽经换药等处理逐渐结痂或将坏疽足趾截除而愈合。术后25例随访了3～34个月,先后有12例复发,9例行二次介入手术重新获得好转,仅1例转外科行截足术,无死亡病例。结论使用长球囊行PTA治疗膝下动脉硬化闭塞性疾病是安全、有效的。

Objective To evaluate the efficacy of percutaneous transluminal angioplasty（PTA） with long balloon for the treatment of infrapopliteal artery occlusive disease. Methods 32 arteriosclerosis obliteran patients with 35 limbs underwent infrapopliteal artery PTA with long balloon. Results The technical success was obtained in 29 limbs, and the technical success rate was 82. 9%. The patients showed the improvement of ischemic symptoms except the foot amputation been performed after 10 days of procedure in one case.The limbs with preoperative foot ulcer foot and gangrene were healed by partial toe amputation .Follow-up period after procedure was 3 to 34 months in 25 patients. During the follow-up, 12 patients appeared recurrence, 9 of the 12 patients obtained remission of symptoms after a further balloon PTA, only 1 patient underwent foot amputation. All patients were alive. There was no dead case. Conclusion Long balloon PTA is a safe and effective treatment for patients with infrapopliteal artery occlusive disease.