血管内支架置入治疗周围血管疾病的应用研究

The applied study of intravascular stent therapy for peripheral vascular disease

目的:探讨血管内支架置入治疗周围血管疾病的应用价值。材料与方法:16例周围血管狭窄或闭塞的患者及2例外伤性周围血管损伤的患者。15例为髂动脉或股动脉动脉硬化所致的血管狭窄或闭塞,1例为左锁骨下动脉开口处动脉硬化所致的血管狭窄,1例为右肱动脉上段外伤性动脉瘤,1例为外伤性右锁骨下动-静脉瘘。16例周围血管狭窄或闭塞的患者,采用经皮穿刺溶栓治疗、球囊导管血管内成形(PTA)及血管内支架置入进行治疗,2例外伤性血管损伤的患者,采用经皮穿刺带膜血管内支架置入进行治疗。结果:18例患者经溶栓治疗、血管内成形(PTA)及血管内支架置入术治疗后,闭塞血管重新开通,损伤血管修复,血液动力学恢复正常。未发生并发症。结论:血管内支架置入治疗周围血管疾病具有较高的临床应用价值。

Objective:To study the value of intravascular stent therapy for peripheral vascular disease.Materials and Methods:Sixteen cases of peripheral vascular occlusive disease(15 stenosis or occlusion of femoral artery resulted from atherosclerotic disease and 1 stenosis of subclavian arterial orifice)and 2 cases of traumatic peripheral vascular injuries (1 traumatic aneurysm of brachial artery and 1 traumatic arteriovenous fistula) were studied.Sixteen patients with peripheral vascular stenotic or occlusive underwent intravascular thrombolysis,percutaneous transluminal angioplastic(PTA) and intravascular stents,2 traumatic peripheral vascular injury patients underwent covered metallic stent implantation Results:After intra arterial thrombolysis,PTA and intravascular stents therapy,the vessels in all patients got recanalization,and blood flow were restored without complication.Conclusions:Intravascular stents have significantly therapeutic values for peripheral vascular disease.