腔内治疗股腘动脉硬化性闭塞症的体会

Study on Transluminal Angioplasty in the Treatment of Patients with Lower Limb Atherosclerosis

目的：评价经皮血管腔内成形术治疗下肢动脉硬化性闭塞症的价值。方法：21例TASCⅡC D型股动脉或腘动脉硬化性闭塞症患者,共26条下肢动脉硬化症行经皮血管腔内成形术,比较术前后患肢临床症状的变化。结果：22条肢体开通或部分开通,将肢体放置支架,1条肢体行股骨中段水平截肢,1条肢体行旁路转流术。随访1~6个月,多数患者肢体的临床症状有好转。结论：分段血管腔内成形术和膝下动脉行PTA后应用尿激酶对提高PTA的成功率和近期通畅率有帮助。

Objective： To evaluate the value of transluminal angioplasty in the treatment of lower limb atherosclerosis.Methods： Retrospectively analyzed the clinical change of 21 cases with trans-atlanticinter-society consensus Ⅱ（TASC Ⅱ） type C and D femoropopliteal arteriosclerosis obliterans patients,with a total of 26 lower limb,who accepted atherosclerosis percutaneous transluminal angioplasty.Results： A total of 22 limbs acquired recanalization or partially recanalization,including placement of stent in 2 cases,one limb amputation at the middle of femoral bone,and one case of bypass.In most cases,the clinical symptoms of limb improved in one to six monthes period of follow-up.Conclusions： Segmental transluminal angioplasty and application of urokinase after below-knee artery PTA are helpful to the success of operation and short-term patency.