探讨分析髂股动脉腔内支架植入术治疗下肢动脉粥样硬化闭塞症的临床疗效

To Investigate and Analyze the Clinical Effect of Intracavity Ilio-femoral Artery Stent Implantation in the Treatment of Lower Extremity Atherosclerotic Occlusive Disease

目的探讨下肢动脉粥样硬化闭塞症治疗中应用髂股动脉腔内支架植入术的临床疗效。方法抽取60例2015年1月至2019年1月期间前来我院就诊的下肢动脉粥样硬化闭塞症患者为研究对象,利用数字表法随机分成两组,对照组(30例)实施保守治疗,充分分析患者病情,给予患者服用硫酸氢氯吡格雷片、静脉注射红花黄色素、静脉滴注前列地尔等药物治疗;研究组(30例)实施髂股动脉腔内支架植入术治疗,指导患者采取仰卧体位,给予其连续硬膜外麻醉,经由左侧腋动脉入路,在距离患者肘横纹内2/3横处做切口,充分显露出患者的左侧肱动脉,展开肝素化处理,以C型臂为导视,展开肱动脉穿刺工作,将6F动脉鞘管置入,实施斜位造影,将球囊置入患者髂股动脉狭窄处展,展开扩张处理,置入支架,进行补充扩张。在扩张过程中,为患者注入对比剂,起到润滑效果,比较两组的治疗效果。结果研究组有效率(96.67%)比对照组高(80.00%);治疗后1个月、3个月、6个月,研究组踝肱指数(ABI)高于对照组;研究组不良终点事件发生率(13.33%)低于对照组(43.33%),组间差异均呈统计学意义(P<0.05)。结论在下肢动脉粥样硬化闭塞症治疗中应用髂股动脉腔内支架植入术,能同时达到理想的近期和远期治疗效果,降低不良终点事件发生率。

Objective To investigate the clinical effect of iliofemoral artery stent implantation in the treatment of lower extremity atherosclerotic obliterans.Methods Sixty patients with lower extremity atherosclerotic obliterans who came to our hospital from January 2015 to January 2019 were selected as the research objects,and were randomly divided into two groups by using the number table method.The control group(30 cases)received conservative treatment,and the condition of the patients was fully analyzed.Patients were given clopidogrel bisulfate tablets,intravenous injection of safflower yellow pigment,intravenous infusion of alprostadil and other drugs.The study group(30 cases)implementation of iliac artery lumen stent implantation treatment,patients take the supine position,given its continuous epidural anesthesia,via the left axillary artery into the road,in patients with elbow two-thirds in transverse do incision in the horizontal stripes,fully exposed the left brachial artery in patients with,heparinization processing,C arm as the guide,to work on brachial artery puncture,The 6F arterial sheath was placed and oblique angiography was performed.The balloon was placed at the stenosis of the iliac artery of the patient for dilation.The stent was placed for dilation.Results The effective rate(96.67%)of the study group was higher than that of the control group(80.00%);1 month,3 months,and 6 months after treatment,the ankle brachial index(ABI)of the study group was higher than that of the control group.The incidence of adverse end-point events in the study group(13.33%)was lower than that in the control group(43.33%),and the difference between the groups was statistically significant(P<0.05).Conclusion Intracavity ilio-femoral artery stent implantation in the treatment of lower extremity atheromatous obliterans can achieve ideal short-term and long-term therapeutic effects and reduce the incidence of adverse end point events.