下肢动脉硬化闭塞症应用经皮腔内支架成形术治疗的效果观察

Effect of Percutaneous Transluminal Stenting in the Treatment of Lower Extremity Arteriosclerosis Obliterans

目的:观察下肢动脉硬化闭塞症(ASO)患者应用经皮腔内支架成形术治疗的临床效果。方法:选择80例ASO患者为研究对象,收集时间为2019年1月至2020年1月。按照治疗方式不同进行分组:40例行经皮腔内支架成形术治疗的患者为研究组,40例行经皮腔内血管成形术治疗的患者为对照组。评价两组的临床疗效,测量比较治疗前后足背动脉、胫后动脉的踝肱指数(ABI),简明健康状况量表(SF-36)评价生活质量治疗前后的变化,记录术后并发症发生情况。结果:研究组患者在总有效率方面高于对照组(95.00%VS 75.00%),P<0.05。术后研究组足背动脉、胫后动脉的ABI较对照组提高,P<0.05。术后研究组生活质量评分较对照组提高,P<0.05。在术后并发症发生率方面,两组比较无统计学差异,P>0.0。结论:ASO患者应用经皮腔内支架成形术治疗取得的效果满意,下肢血流情况及生活质量均得到改善,且手术安全性较好,临床值得大力推广。

Objective:To observe the clinical effect of percutaneous transluminal stenting in patients with lower extremity arteriosclerosis obliterans(ASO).Methods:80 patients with ASO were selected as the research object,and the collection time was from January 2019 to January 2020.According to different treatment methods,40 patients treated with percutaneous transluminal stenting were the study group and 40 patients treated with percutaneous transluminal angioplasty were the control group.Evaluate the clinical efficacy of the two groups,measure and compare the ankle brachial index(ABI)of dorsalis pedis artery and posterior tibial artery before and after treatment,evaluate the changes of quality of life before and after treatment with concise health status scale(SF-36),and record the occurrence of postoperative complications.Result:The total effective rate of the study group was higher than that of the control group(95.00%VS 75.00%,P<0.05).After operation,the ABI of dorsalis pedis artery and posterior tibial artery in the study group was higher than that in the control group(P<0.05).The score of quality of life in the study group was higher than that in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:The effect of percutaneous transluminal stenting in patients with Aso is satisfactory,the blood flow of lower limbs and quality of life have been improved,and the operation safety is good,which is worthy of great promotion in clinic.