[1]王成刚,吴丹明,周玉斌,等.血管腔内支架成形术治疗下肢动脉硬化闭塞症45例[J].中国微创外科杂志,2006,06(6):461-462.
　Wang Chenggang,Wu Danming,Zhou Yubin,et al.Endovascular angioplasty and stenting for lower extrem ity arteriosclerotic occlusion: Report of45cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):461-462.
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血管腔内支架成形术治疗下肢动脉硬化闭塞症45例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
461-462
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Endovascular angioplasty and stenting for lower extrem ity arteriosclerotic occlusion: Report of45cases
作者:
王成刚; 吴丹明; 周玉斌; 易巍; 贾琪; 孙雨莘　
辽宁省人民医院血管外科,沈阳,110016
Author(s):
Wang Chenggang; Wu Danming;  Zhou Yubin;  et al.
Department of Vascular Surgery, People’s Hospital of Liaoning Province, Shenyang 110016, China
关键词:
动脉硬化闭塞症; 血管腔内成形术; 支架
Keywords:
Arteriosclerotic occlusion; 　Endovascular angioplasty; 　Stent
分类号:
R654.3
文献标志码:
A
摘要:
目的探讨血管腔内支架成形术治疗下肢动脉硬化闭塞症的疗效. 方法采用经皮穿刺股动脉或切开动脉直视下穿刺,造影明确病变动脉部位及病变长度后,利用导丝或超声消融导管开通闭塞段,球囊导管行扩张成形后置入血管内支架. 结果 45例(53条患肢)血管腔内支架均释放成功,踝肱指数由0.36±0.14增至术后7 d 0.77±0.21 (t=2.397, P=0.021),45例随访6～54个月,平均23个月,一期肢体通畅率90.6%(48/53). 结论血管腔内支架成形术操作简便、微创、安全是治疗下肢动脉硬化闭塞症的有效方法.
Abstract:
Objective　To evaluate clinical effects of endovascular angioplasty and stenting for treating lower extremity arteriosclerotic occlusion (ASO).　M ethods　After the identification of the stenosis or occlusion by angiography via femoral artery access by percutaneous puncture or incision puncture, recanalization of the occlusion was done by ultrasound ablation or guildewire clearance. Then the percutaneous transluminal angioplasty (PTA) was performed and an endovascular stentwas introduced.　Results A totalof45 cases (53 legs) had undergone endovascular angioplasty and stenting. The procedurewas technically successful in all the patients. The ankle brachial index (ABI) increased from 0. 36±0. 14 preoperatively to 0. 77±0. 21 on the 7 postoperative day (t=2.397, P=0. 021). Follow-up checkups in all the cases for6~54months (mean, 23months) revealed a primary patency rate of 90. 6% (48/53).　Conclusions　Endovascular angioplasty and stenting is a safe and effective method for treating lower extremity arteriosclerotic occlusion.

参考文献/References:

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更新日期/Last Update: 2014-01-27