介入治疗急性髂总动脉和肢体动脉栓塞的临床研究

Intravascular intervention for acute iliac and lower limb arterial occlusions

目的 :探讨急性髂总动脉和肢体动脉栓塞血管内治疗的方法和疗效。方法 :采用血管内尿激酶溶栓术 11例 ,8例动脉狭窄 9段 ,3例髂外动脉狭窄 6段 ;经皮穿刺血管成形术 (PTA) 8例 ,2例髂总动脉狭窄 3段 ,6例股动脉狭窄 10段。支架置入 1例为髂外动脉狭窄。共治疗患者 2 0例 2 8段。男 16例 ,女 4例 ,年龄 3 0～ 83岁 ,平均 5 6岁。结果 :溶栓治疗成功率 66.67% ( 10 / 15段 ) ,PTA治疗成功率 92 .3 1% ( 12 / 13段 ) ,支架置入术成功 1例 ( 1/ 1)。结论 :采用血管内局部溶栓和PTA、支架置入是治疗急性髂总动脉和肢体动脉栓塞安全、有效的方法。

Objective:To study the methods and curative effects of intravascular treatments in acute thrombosis of common iliac and lower limb arteries.Methods:Intravascular thrombolysis with urokinase was performed in 11 cases, including 8 cases with 9 segmental stenoses of popliteal artery,and 3 cases with 6 segmental stenoses of external iliac artery.Percutaneous transluminal angioplasty (PTA) was performed in another 8 cases,including 2 cases with 3 segmental stenoses of common iliac artery,and 6 cases with 10 segmental stenoses of femoral artery.A stent was placed in 1 case of external iliac arterial stenosis.Totally,28 segmental stenoses in 20 cases were treated.Results:The success rate of intravas cular thrombolysis was 66.67% (10/15 segments) and that of PTA was 92.31% (12/13 segments).Stenting was successfully accomplished in one.Conclusion:Intravascular thrombolysis ,PTA and stenting are safe and effective treatments for acute thrombosis and stenosis of common iliac artery and lower limb arteries.