腔内斑块切除术治疗膝下动脉硬化闭塞性疾病的疗效分析

发布时间：2018-04-14 19:58

本文选题：下肢动脉硬化闭塞症 + 斑块切除术　；参考：《山东医药》2017年33期

【摘要】：目的探讨Silver Hawk腔内斑块切除术治疗膝下动脉硬化闭塞性疾病的安全性和有效性。方法回顾性分析28例采用Silver Hawk斑块切除术治疗膝下动脉硬化闭塞症患者临床资料,通过血管多普勒超声和CT血管成像评价管腔通畅情况,记录患者手术前后踝肱指数(ABI)、并发症发生情况以及靶血管一、二期通畅率。结果28例患者手术均获得成功。全组无围手术期死亡病例,术后所有患者临床症状较术前明显改善,术后第2天ABI1.09±0.25与术前ABI 0.52±0.17差异有统计学意义(P0.05)。术后6、12、24个月一期通畅率分别为76.47%、70.59%、64.71%,二期通畅率分别为94.12%、91.18%、82.35%。溃疡愈合率87.5%,其中5例缺血性溃疡患者溃疡逐渐愈合;2例坏疽患者足趾脱落,创面愈合,1例坏疽患者因感染行膝下截肢,截肢平面较术前下降。结论 Silver Hawk腔内斑块切除术治疗膝下动脉硬化闭塞性疾病是一种安全有效的方式,近、中期效果满意。
[Abstract]:Objective to evaluate the safety and efficacy of Silver Hawk endovascular plaque resection in the treatment of inferior knee arteriosclerosis obliterans.Methods the clinical data of 28 patients with subgenu arteriosclerosis obliteration treated by Silver Hawk plaque resection were retrospectively analyzed. The patency of the lumen was evaluated by Doppler ultrasound and CT angiography.The malleolus brachial index (ABI), the incidence of complications and the patency rate of target vessels were recorded before and after operation.Results all the 28 patients were successfully operated.There were no perioperative death cases in the whole group. The clinical symptoms of all the patients were significantly improved compared with those before operation. The difference of ABI1.09 卤0. 25 and ABI 0. 52 卤0. 17 on the second day after operation was statistically significant (P 0. 05).The primary patency rates were 76.47 and 70.591.The second stage patency rates were 94.121,91.18 and 82.35, respectively.The healing rate of ulcers was 87.5%. Among them, 5 cases of ischemic ulcer patients had ulcer healing and 2 cases of gangrene patients had lost their toes, and 1 case of gangrene patients had undergone subknee amputation due to infection. The level of amputation was lower than that before operation.Conclusion Silver Hawk endovascular plaque resection is a safe and effective method for the treatment of inferior knee arteriosclerotic occlusive disease.
【作者单位】：郑州大学第五附属医院;
【基金】：河南省高等学校重点科研项目(16B320023)
【分类号】：R654.4

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