动静脉闭塞性疾病的血管内介入治疗

Intravascular interventional therapy for arterial or venous obstruction

目的 探讨血管闭塞性疾病的血管内治疗方法和疗效。方法 采用血管内尿激酶溶栓术、经皮穿刺血管成形术 (PTA)和内支架置入术治疗动脉病变 13例 16段 ,静脉病变 6例 7段。结果 溶栓治疗成功率 87.5 0 % (7/ 8段 ) ,PTA治疗成功率 91.6 7% (11/ 12段 ) ,内支架治疗 3段全部成功 ,经观察 6个月以上 ,疗效满意率为 78.2 6 % (18/ 2 3段 )。结论 血管闭塞性病变根据其性质和程度不同 ,可采用不同的介入治疗方法 ,而局部溶栓是治疗血栓性闭塞的基本方法。

Objective To explore the methodology and curative effect of intravascular treatment for vascular obstruction. Methods Urokinase(UK) infusion was used for intraluminal thrombolysis, percutaneous transluminal angioplasty(PTA) and stent placement were performed respectively, to treat 16 segments of 13 patients with arterial obstructions, 7 segmengts of 6 cases with venous obstructions. Among them, 10 men and 9 women, aged 29-86, median 63 years old. Results The sucessful ratio was 87.5%(7/8 segments) by intraluminal thrombolysis, 91.67%(11/12) by PTA and 100%(3/3) by stent placement, total effective ratio was 78.26% (18/23 segments) after more than 6 months follow-up. Conclusion Different intravascular therapies should be selected according to the quality and extent of vascular obstructions. The intravascular thrombolysis is an essential therapy for thrombotic occlusion .