[1]庄百溪,杨淼,马鲁波,等.小口径球囊经皮腔内血管成形术治疗下肢远端严重肢体缺血28例报告[J].中国微创外科杂志,2007,07(7):615-624.
　Zhuang Baixi,Yang Miao,Ma Lubo,et al.Percutaneous transluminal angioplasty with smalldiameter balloon for treating distal critical lower limb ischemia: Report of 28 cases[J].Chinese Journal of Minimally Invasive Surgery,2007,07(7):615-624.
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小口径球囊经皮腔内血管成形术治疗下肢远端严重肢体缺血28例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年7期
页码:
615-624
栏目:
出版日期:
2007-07-20

文章信息/Info

Title:
Percutaneous transluminal angioplasty with smalldiameter balloon for treating distal critical lower limb ischemia: Report of 28 cases
作者:
庄百溪; 杨淼; 马鲁波; 于春利; 张童; 石波
中国中医科学院西苑医院介入血管外科，北京100091
Author(s):
Zhuang Baixi;  Yang Miao;  Ma Lubo;  et al.
Department of Interventional Vascular Surgery, Xiyuan Hospital of China Academy of Traditional Chinese Medicine, Beijing 100091, China
关键词:
腔内血管成形; 严重肢体缺血; 介入
Keywords:
Endovascular angioplasty; Critical limb ischemia; Intervention
分类号:
R654.3
文献标志码:
A
摘要:
目的观察小球囊扩张远端血管对膝下缺血性病变导致的下肢远端严重肢体缺血(critical limb ischemia ,CLI)的疗效。方法2005年10月～2006年4月对28例膝下动脉狭窄或闭塞使用小口径球囊(直径≤3 mm)进行介入治疗。结果成功对85条病变血管进行球囊扩张，无严重并发症。20例有效，6例显效，有效率92.8％(26/28)，2例无效，其中1例术后2个月病情恶化行膝下截肢。术后3个月总有效率78.6％（22/28），踝/肱指数(ABI)由术前0.27±0.24升高为术后3 d 0.65±0.38(t＝10.559，P=0.000）；术后3个月未发现治疗血管再狭窄>50%。结论小口径球囊经皮腔内血管成形术治疗膝下血管病变导致的下肢远端严重缺血近期疗效确切，远期疗效尚待观察。
Abstract:
ObjectiveTo study the effect of percutaneous transluminal angioplasty with smalldiameter balloon in patients with critical limb ischemia (CLI) of distal lower limbs.MethodsInterventional treatment with smalldiameter (≤3 mm) balloon dilatation was performed in 28 cases of arterial stenosis or occlusion below the knee level from October 2005 to April 2006.ResultsA total of 85 diseased arteries was successfully treated. No serious complications occurred. After operation, “significant improvement” of clinical symptoms was achieved in 6 cases and “improvement” in 20 cases, the overall effective rate being 92.8% (26/28). Failure to response was encountered in 2 cases. And 1 of them received an amputation below the knee at 2 months after operation. The overall effective rate at 3 months after operation was 78.6% (22/28). The ABI was increased from 0.27±0.24 preoperatively to 0.65±0.38 on the 3rd postoperative day (t=10.559, P=0.000). No restenosis by > 50% in target vessels was found at 3 months after operation.ConclusionsSmalldiameter balloon dilation can be the first choice in the treatment of patients with critical limb ischemia. Longterm outcomes have not yet been identified.

参考文献/References:

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更新日期/Last Update: 2013-12-09