腔内成形术治疗下肢动脉硬化闭塞症的技巧及临床观察

The Skills and Clinical Observation of Endovascular Treatment of Lower Extremity Arteriosclerosis Obliterans

评价腔内成形术(PTA及PTAS)治疗下肢动脉硬化闭塞症的技巧和临床观察。2010年10月至2013年10月,对37例下肢动脉硬化闭塞症血管多段病变患者采用经皮血管腔内成形术和经皮血管腔内成形+支架植入术治疗。结果36(97%)例手术成功,术后肢体缺血症状完全消失或明显改善,38条患肢皮温明显升高,间歇性跛行消失或距离延长,静息痛好转。术后踝/肱指数(ABI)(0.83±0.12)与术前(0.35±0.07)比较差异有统计学意义(P<0.05)。合理的腔内成形术(PTA+PTAS)是治疗下肢动脉硬化闭塞症安全有效的方法。熟练掌握腔内成形术是提高手术成功率和维持通畅率的关键。

To evaluate the skills and clinical observation of pecutaneous transtuminl angioplasty（PTA） and pecutaneous transtuminl angioplasty and stenting（PTAS） on lower extremity atherosclerotic obliterans （LEAO）. From Oct. 2010 to Oct. 2013, PAT and PATS were performed on 37 cases with multilevel lower extremity arteriosclerosis diseases. The surgical success rate is 97%. After the operation the temperature of 38 Limbs skin was significantly improved and intermittent claudication disappeared or claudication distance extension. The rest pain disappeared or significantly reduced. The average ankle brachial index （ABI） before and after therapy was （0.83±0. 12）and （0.35±0.07）（P〈0.05）. The reasonable PTA and PTAS treatment for lower limb arteriosclerosis disease is a safe and effective option. Skillful endovascular is important for improving operation success rate and maintaining patency rate.