膝下血管成形术治疗重症肢体缺血的临床疗效

发布时间：2018-03-07 14:24

本文选题：血管成形术　切入点：缺血　出处：《中国介入影像与治疗学》2015年12期 　论文类型：期刊论文

【摘要】：目的评价膝下经皮腔内血管成形术(PTA)治疗重症肢体缺血(CLI)的临床疗效。方法回顾性分析48例(50条患肢)接受膝下PTA治疗的下肢CLI患者,统计PTA的技术成功率、围术期并发症、PTA术后的缺血症状缓解情况、治疗血管的通畅情况和大截肢情况。结果共针对64条膝下动脉施行PTA,技术成功率为85.94%(55/64);围术期并发症发生率为12.50%(6/48)。平均随访(16.25±2.65)个月;PTA术后1、3、6、12、24、36个月的1期血管通畅率分别为92.0%、85.7%、79.0%、75.8%、59.8%、29.9%;保肢率分别为92.0%、92.0%、89.7%、86.4%、82.1%、72.9%。50条患肢中,1、3、6个月时的缺血症状缓解率分别为42.00%(21/50)、70.21%(33/47)和86.36%(38/44)。结论膝下PTA治疗CLI技术可行,安全性高,能有效缓解CLI的静息痛症状、促进肢体溃疡的愈合,避免大截肢的发生。
[Abstract]:Objective to evaluate the clinical efficacy of subgenu percutaneous transluminal angioplasty (PTA) in the treatment of severe limb ischemia. Methods 48 cases of lower extremity CLI treated with subgenu PTA were retrospectively analyzed, and the technical success rate of PTA was counted. Perioperative complications and ischemic symptoms relief after PTA, Results A total of 64 inferior genu arteries were treated with PTAA. The technical success rate was 85.9455 / 64, and the incidence of perioperative complications was 12.50 / 6 / 48. The mean follow-up was 16.25 卤2.65 months after PTA. The rate of limb salvage was 92.0 and 92.00.89. 72.71 and 72.90.50. The remission rates of ischemic symptoms at 6 months were 42.0021, 70.21 and 70.21%, respectively, and 86.36% and 86.36%, respectively. Conclusion the treatment of CLI under the knee is technically feasible, and it is possible to treat the patients with CLI at a rate of 42.0021 / 50 / 70.21 / 33 / 47) and / or 86.36 / r / r /% / 38 / 444.Conclusion it is feasible to treat CLI with PTA under the knee. High safety, can effectively alleviate the symptoms of CLI resting pain, promote the healing of limb ulcers, and avoid the occurrence of large amputation.
【作者单位】：厦门大学附属第一医院介入诊疗科;首都医科大学附属友谊医院放射科;
【分类号】：R654.4;R816.2

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