腔内手术治疗下肢动脉硬化闭塞症20例分析

Endovascular repair therapy of lower limb srteriosclerosis obliternas:a retrospective analysis of 20 cases

目的：探讨腔内手术技术在下肢动脉硬化闭塞症中治疗的作用。方法：回顾性分析我院2009—01~2011—12腔内手术治疗20例下肢动脉硬化闭塞症的资料。根据患者术前评估及介入术中情况行腔内手术治疗。结果：手术后有2例临床症状同术前比较无明显改善（10%）,余18例均有不同程度的改善,其中症状显著改善14例（70%）;中度改善例4（20%）;轻度改善2例（10%）,临床成功率为93.5%。患者初次通畅平均时间为240d,累积通畅率为（56±12）%。结论：腔内手术对于下肢动脉硬化闭塞症是一种有效的治疗手段,能最大程度的挽救肢体。

Objective： To detect the effect of endovascular repair therapy on lower limb arteriosclerosis obliternas. Methods： Retrospective analysis of 20 cases of lower limb arteriosclerosis obliternas from January 2009 to December 2011 in our hospital. The patients receive endovascular repair therapy according to the preop- erative evaluation and intraoperative situation by DSA. Results：Except two cases, the clinical symptom all im- proved in other 18 cases： significant improvement in 14 cases （70%）, moderate improvement in 4 cases （20%）, and mild improvement in 2 cases（10%）. Clinical success rate was 93.5%. The time was 240 days of the first time unobstructed, cumulative patency rate was （56 ± 12） %. Conclusion ： Endovascular repair is an ef- fective therapy for the treatment of lower limb arteriosclerosis obliternas that could retrieve limbs to a maximum extent.