经肱动脉入路治疗对下肢动脉硬化性闭塞患者血液流变力学的影响

Blood Rheological Mechanics Effect of Brachial Artery Treatment in Patients with Lower LimbArteriosclerosis Sex Occlusion

目的:探讨经肱动脉入路治疗对下肢动脉硬化性闭塞患者血液流变力学的影响。方法:回顾性分析2012年9月-2015年12月期间本院确诊治疗的下肢动脉硬化性闭塞患者90例,依据治疗方法分为肱动脉组和股动脉组,每组45例,股动脉组患者给予经股动脉入路治疗,肱动脉组患者给予经肱动脉入路治疗。随访6个月,统计分析所有患者手术治疗情况,术前、术后3、6个月的踝肱指数(ABI)、足背动脉血流量(DPABF)和并发症发生情况。结果:肱动脉组患者一次性穿刺成功率明显高于股动脉组,前者穿刺次数、手术时间明显低于后者,两组比较差异均有统计学意义(P<0.05)。两组患者的手术成功率、术后3、6个月ABI、DPABF水平基本相同,比较差异无统计学意义(P>0.05);但所有患者术后上述指标明显高于术前,手术前后比较差异均有统计学意义(P<0.05)。肱动脉组患者并发症发生率明显低于股动脉组,两组比较差异有统计学意义(P<0.05)。结论:经肱动脉入路治疗下肢动脉硬化性闭塞疗效确切,可有效提高手术穿刺成功率和缩短手术时间,改善患者血液流变力学指标,且具有减少患者术后并发症发生的作用,值得临床进一步推广。

Objective： To discuss the blood rheological mechanics effect of brachial artery treatment in patients with lower limb arteriosclerosis sex occlusion.Method： 137 patients with cervical cancer were retrospectively analyzed from September 2012 to December 2015 in our hospitals.According to the treatment, all patients were divided into braehial artery group and femoral artery group, 45 cases in each group, femoral artery group patients were given via femoral artery treatment and brachial artery group patients were given via brach^al artery treatment. FollOwed up for 6 months, all patients with surgical treatment were analyzed, preoperative and postoperative 3, 6 months of ankle brachil index （ ABI ）, dorsalis pedis artery blood flow （ DPABF ） and complications of two groups were analyzed.Result： Brachial artery group patients with one-time success rate of puncture was obviously higher than that of femoral artery group, the puncture times and surgery time in brachial artery group were significantly lower than femoral artery group, there were significant differences （P〈0.05） .The success rate of surgery, postoperative 3 and 6 months ABI and DPABF levels of two groups were basically the same, there were no significant differences （ P〉0.05 ） ; but all patients with the above index were significantly higher than those of preoperative, the differences were statistically significant （ P〈0.05 ）.The incidence of complications in brachial artery group was obviously lower than the femoral artery group, there were significant differences （ P〈0.05 ） .Conclusion： The brachial artery approach in the treatment of lower extremity arterial occlusive disease curative effect, can effectively improve the success rate of puncture and shorten the operation time, improve the patients＇ blood rheology index, and has less postoperative complications, it is worthy of further promotion.