下肢动脉硬化闭塞症介入治疗疗效分析

Analysis of Curative Effect of Interventional Treatment of Lower Extremity Atherosclerotic Occlusive Disease

目的探讨下肢动脉硬化闭塞症介入治疗的临床疗效。方法方便选取2014年1月—2016年10月该院收治的102例下肢动脉硬化闭塞症患者,随机分为实验组(介入治疗,51例)和对照组(保守治疗,51例)。统计两组临床疗效、近期通畅率、再闭率等。结果治疗后,实验组ABI(0.86±0.05),跛行距离(283.2±30.5)m,患肢皮肤温度(32.9±1.5)℃,治疗有效率95.89%,6个月后通畅率87.67%,再闭率8.22%,长期随访截肢率1.37%,死亡率1.96%,各项指标均显著优于对照组,差异有统计学意义(P<0.05)。结论血管介入治疗下肢动脉硬化闭塞症效果显著,具备临床推广价值。

Objective To study the clinical curative effect of interventional treatment of lower extremity atherosclerotic occlusive disease. Methods 102 cases of patients with lower extremity atherosclerotic occlusive disease admitted and treated in our hospital from January 2014 to October 2016 were convenient selected and randomly divided into two groups with 51 cases in each, the experimental group and the control group respectively adopted the interventional therapy and conservative therapy, and the clinical curative effect, short-term patency rate and re-closure rate of the two groups were counted. Results After treatment, the ABI, claudication distance, skin temperature of affected limb, treatment effective rate in the experimental group were respectively(0.86±0.05),(283.2±30.5)m,(32.9±1.5)℃ and 95.89%, and the patency rate and reclosure rate after 6 months were respectively 87.67% and 8.22%, and the long-term follow-up amputation rate was 1.37%and the death rate was 1.96%, and various indexes were obviously better than those in the control group, and the differences were statistically significant(P <0.05). Conclusion The effect of vascular intervention in treatment of lower extremity atherosclerotic occlusive disease is obvious, which is of clinical promotion value.