药物涂层球囊对老年患者下肢动脉粥样硬化闭塞症支架内再狭窄的疗效

发布时间：2018-03-02 05:16

本文关键词： 股浅动脉药物涂层球囊支架内再狭窄通畅率　出处：《中国老年学杂志》2017年21期 　论文类型：期刊论文

【摘要】：目的探究老年下肢动脉粥样硬化闭塞症中股浅动脉支架内再狭窄行药物球囊治疗后效果。方法 28例(28条肢体)股浅动脉支架后再狭窄患者中狭窄19例,闭塞9例。根据临床治疗方式分为普通球囊血管成形术14例(A组)和药物涂层球囊血管成形术14例(B组)。结果28例均手术成功,手术时间60~100 min,术中均未出现相关并发症。术后数字化减影血管造影术(DSA)显示靶血管形态及通畅性均良好。术后给予常规用药,住院1 w,出院后常规双抗用药;均获得随访3~12个月。术后6个月通畅率A组78.60%(11/14)、B组100.00%(14/14);12个月通畅率A组64.30%(9/14)、B组85.70%(12/14);两组差异显著(P0.05)。术后无截肢或死亡病例。结论对于股浅动脉支架内再狭窄患者行药物涂层球囊治疗较普通球囊血管成形术的近中期通畅率有显著提高。
[Abstract]:Objective to investigate the effect of drug balloon therapy on restenosis of superficial femoral artery stents in elderly patients with atherosclerosis obliterans. Methods there were 19 patients with restenosis after stenting of superficial femoral artery in 28 patients with 28 limbs. According to the clinical treatment, 9 cases were divided into two groups: common balloon angioplasty (n = 14, n = 14) and drug-coated balloon angioplasty (n = 14, n = 14). The operation time was 60 ~ 100 min, and there were no related complications during the operation. DSAs showed good shape and patency of the target vessels. All patients were followed up for 3 to 12 months. The patency rate of group A was 78.60% and that of group B was 100.0014 / 14 / 14 at 6 months after operation. The patency rate of group A was 64.30% / 14%. The patency rate of group A was 85.70% / 12% / 14%. The difference between the two groups was significant (P0.05). There were no cases of amputation or death after operation. Conclusion the patients with restenosis in stents of superficial femoral artery should be coated with drugs. The patency rate of lamellar balloon angioplasty was significantly higher than that of conventional balloon angioplasty.
【作者单位】：吉林大学中日联谊医院血管外科;
【分类号】：R543.5

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