腔内血管成形术在老年下肢动脉硬化闭塞症中的应用

Application of Endovascular Angioplasty in Elderly Patients with Lower Extremity Arteriosclerosis Obliterans

目的腔内血管成形术治疗老年下肢动脉硬化闭塞症效果分析。方法取90例我院(2020年1月~2021年1月)收治的老年下肢动脉硬化闭塞症患者,以抽签法分为对照组(n=45)、观察组(n=45),对照组行股动脉内膜剥脱术结合腔内治疗,观察组行腔内血管成形术,对比两组治疗效果、手术技术成功率,不同时间点下肢感觉神经传导速度(SNCV)、运动神经传导速度(MNCV),炎性因子水平,并发症发生率。结果总有效率组间比较,P<0.05;两组手术技术成功率对比,P>0.05;术前,两组SNCV、MNCV对比,P>0.05;术后1个月、术后3个月,两组SNCV、MNCV均持续升高,且观察组优于对照组,P<0.05;治疗前,两组炎性因子水平对比,P>0.05;治疗后,两组各指标较治疗前均明显改善,且组间对比,P<0.05;两组比较,观察组并发症发生率更低,P<0.05。结论对老年下肢动脉硬化闭塞症患者采用腔内血管成形术效果明显,且可改善下肢感觉神经传导速度与运动神经传导速度,减轻炎症反应,并发症更少。

Objective to analyze the effect of endovascular angioplasty in the treatment of lower extremity arteriosclerosis obliterans in the elderly.Methods:90 elderly patients with lower extremity arteriosclerosis obliterans treated in our hospital(January 2020~January 2021)were divided into control group(n=45)and observation group(n=45).The control group was treated with femoral artery endarterectomy combined with endovascular therapy,while the observation group was treated with endovascular angioplasty.The therapeutic effect,surgical success rate,sensory nerve conduction velocity(SNCV),motor nerve conduction velocity(MNCV),inflammatory factor level and complication rate of the two groups were compared.Results The total effective rate was compared between groups,P<0.05;Comparison of the success rate of surgical techniques between the two groups,P>0.05;Before operation,SNCV and MNCV were compared between the two groups(P>0.05);At 1 month and 3 months after operation,SNCV and MNCV in the two groups continued to increase,and the observation group was better than the control group(P<0.05);Before treatment,the levels of inflammatory factors in the two groups were compared(P>0.05);After treatment,the indexes of the two groups were significantly improved compared with those before treatment,and the comparison between the two groups was P<0.05;Compared with the two groups,the incidence of complications in the observation group was lower(P<0.05).Conclusion:The effect of endovascular angioplasty in elderly patients with lower extremity arteriosclerosis obliterans is obvious,which can improve the sensory nerve conduction velocity and motor nerve conduction velocity of lower limbs,reduce inflammatory reaction and reduce complications.