血管腔内介入治疗髂-股动脉硬化闭塞症的临床应用

Clinical Application of Endovascular Interventional Treatment of Iliac Femoral Arteriosclerosis Occlusive Disease

目的探讨血管腔内介入治疗在髂-股动脉硬化闭塞症的临床应用及疗效。方法对本组69例髂-股动脉硬化闭塞症患者进行血管腔内介入治疗。结果血管成形术（PTA）及支架植入术成功64例,置入支架共92枚。手术失败5例。5例手术失败病例其中3例行外科血管旁路术成功。2例内科保守治疗。5例失败的病例中全部为糖尿病患者,69例髂-股动脉硬化闭塞症患者手术成功率92.6%（64/69）。随访12个月,血管通畅率89.8%（62/69）。随访6～36个月,血管通畅率85.5%（59/69）。结论血管腔内介入治疗髂股动脉硬化闭塞症是一种创伤小,并发症少,安全,有效的治疗方法。

Objective To explore the clinical application and efficacy of endovascular interventional therapy in the treatment of iliac femoral arterial occlusive disease. Methods 69 cases of patients with iliac artery stenosis were treated with endovascular intervention. Results Angioplasty（PTA） and stent placement were successful in 64 patients, and 92 stents were implanted. 5 cases of failure. 5 cases of surgical failure cases of which 3 cases of surgical bypass surgery. 2 cases of conservative treatment in department of internal medicine. 5 cases of failed cases of diabetes, 69 cases of iliac femoral artery occlusive disease patients with surgical success rate of 92.6%（64/69）. The patency rate was 89.8%（62/69）, followed up for 12 months. The patency rate was 85.5%（59/69） in 6～36 months. Conclusion Intracavitary interventional treatment of iliac artery sclerosis occlusion syndrome is a kind of small trauma, fewer complications, safe, effective treatment.