摘要
目的探讨下肢动脉硬化闭塞症患者采用内膜下血管成形术(SIA)治疗后的效果。方法选取内膜下血管成形术治疗的60例下肢动脉硬化闭塞患者,针对手术成功率、并发症发生率、后期通畅率进行分析。结果 60例内膜下血管成形术成功55例,手术中技术成功率91.7%,并发症5例,发生率为8.33%,术后6、12、24个月的初始通畅率分别为96.6%、85.2%、67.8%,且无截肢现象,保肢率为100%。2例术中动脉血栓形成;1例术后假性动脉瘤形成,经局部压迫后消失。结论内膜下血管成形术是治疗下肢动脉硬化闭塞症安全而有效的方法,可以降低临床并发症的发病率。
Objective To investigate patients with lower extremity arteriosclerosis obliterans effect after subintimal angioplasty( subintimal angioplasty,SIA) treatment.Methods A total of 60 SIA patients with lower extremity arteriosclerosis obliterans were summarized.The surgical success rate,complication rate,initial and late patency were analyzed in this thesis.Results There were 55 patients survived after SIA in the 60 cases.Technical success rate was 91.7%.5 complications come along with and occurrence of it was 8.33%.After the initial 6,12,24 month,patency rate was 96.6%,85.2%,and 67.8%.Moreover,no limb amputation was appeared,which ratio was 0%.2 cases of intraoperative arterial thrombosis appeared.One pseudo aneurysm formed,but recovered after local pressing.Conclusion The SIA is a safe and effective method for treating lower extremity arteriosclerosis obliterans,which can reduce the incidence of complications.
出处
《血管与腔内血管外科杂志》
2015年第Z1期140-142,共3页
Journal of Vascular and Endovascular Surgery
关键词
内膜下血管成形术
下肢
动脉硬化闭塞
subintimal angioplasty
lower extremity
arteriosclerosis obliterans
