髂股动脉硬化闭塞症金属裸支架置入术后疗效评价

Evaluation of the effect of bare metal stent placement in the treatment of iliofemoral arteriosclerosis obliterans

目的:探讨下肢动脉硬化闭塞症金属裸支架置入术后中长期疗效。方法:回顾性研究我院2012年1月—2017年12月68例髂动脉或股动脉硬化闭塞症患者的资料,其中泛大西洋协会联盟共识Ⅱ(TASCⅡ)分期A期6例、B期27例、C期24例、D期11例;Rutherford分级2级5例、3级20例、4级22例、5级21例。结果:患者1年、3年、5年支架通畅率分别为76.1%、59.6%和33.9%。58例患者Rutherford分级下降,术后Rutherford分级为0级10例、1级38例、2级8例、3级7例、4级2例、5级3例。结论:金属裸支架置入术对髂股动脉硬化闭塞症患者有很好的中长期疗效,有效改善患者生存质量。

Objective:To evaluate the medium-and long-term effect of bare metal stent implantation in treatment of lower extremity arteriosclerosis obliterans.Methods:Six-eight patients with iliac or femoral arteriosclerosis obliterans from January2012 to December 2017 in our hospital were reviewed.Six-eight cases of arteriosclerosis obliterans were classified according to the TransAtlantic Inter-Society ConsensusⅡ(TASCⅡ)document,including 6 cases in stage A,27 cases in stage B,24 cases in stage C and 11 cases in stage D.The Rutherford classification included 5 cases of grade 2,20 cases of grade 3,22 cases of grade 4,and 21 cases of grade 5.Results:The 1-year,3-year,and 5-year primary patency rates were 76.1%,59.6%,and 33.9%,respectively.The Rutherford grade was reduced in 58 patients.The postoperative Rutherford grade was:10 cases of grade 0,38 cases of grade 1,8 cases of grade 2,7 cases of grade 3,2 cases of grade 4,3 cases of grade 5.Conclusion:The bare metal stent implantation has a good effect on the patients with iliac or femoral arteriosclerosis obliterans in the medium and long term,and can effectively improve the quality of life of patients.