CAJ | 학술논문

目的：探讨腔内支架成形术在髂股动脉长段闭塞治疗中的可行性及临床疗效。方法回顾性分析2011年2月～2013年1月期间经CT血管造影（ CT angiography ，简称CTA）证实髂股动脉长段（＞10cm）狭窄或闭塞的15例患者共16条患肢的介入治疗资料。髂动脉闭塞2例（2条），股浅动脉闭塞13例（14条），闭塞长度为11．2～31．8（21．4±5．8）cm。15例均行腔内球囊扩张及支架成形术。结果15例16条患肢中有13例14条患肢闭塞动脉再通成功，14条患肢共植入支架25枚。13例患者临床症状均有不同程度好转，支架成形术后踝肱指数（ABI）由术前（0．32±0．12）升高至（0．78±0．20）。术后随访1年一期通畅率为71．4％．结论腔内支架成形术是治疗髂股动脉长段闭塞的一种创伤小、可行性强、近中期疗效好的治疗方法，可以作为髂股动脉长段闭塞的首选治疗手段。
목적：탐토강내지가성형술재가고동맥장단폐새치료중적가행성급림상료효。방법회고성분석2011년2월～2013년1월기간경CT혈관조영（ CT angiography ，간칭CTA）증실가고동맥장단（＞10cm）협착혹폐새적15례환자공16조환지적개입치료자료。가동맥폐새2례（2조），고천동맥폐새13례（14조），폐새장도위11．2～31．8（21．4±5．8）cm。15례균행강내구낭확장급지가성형술。결과15례16조환지중유13례14조환지폐새동맥재통성공，14조환지공식입지가25매。13례환자림상증상균유불동정도호전，지가성형술후과굉지수（ABI）유술전（0．32±0．12）승고지（0．78±0．20）。술후수방1년일기통창솔위71．4％．결론강내지가성형술시치료가고동맥장단폐새적일충창상소、가행성강、근중기료효호적치료방법，가이작위가고동맥장단폐새적수선치료수단。
Objective To discuss endovascular stenting in the iliac and femoral artery occlusion long feasibility and clinical effi -cacy of the treatment .Methods A retrospective analysis of our department from February 2011 to January 2013 by CT angiography ( CT angi-ography,referred to as CTA) confirmed iliac and femoral arteries long segment (>10cm) stenosis or occlusion of the 15 patients with a total of 16 limb involvement treatment data .Iliac artery occlusion in 2 cases(2 lower limbs),13 cases of femoral artery occlusion (14 lower limbs), the mean lesion length was (21.4 ±5.8)cm range 11.2~31.8cm.Fifteen cases underwent endovascular balloon dilatation and stenting .Re-sults Occlusive arterial recanalization was successed in 13 cases including 14 limb.Twenty-five stents were implanted in 14 limbs.Thirteen cases of patients underwent clinical symptoms of varying degrees of improvement ,and stent angioplasty ankle-brachial index ( ABI) increased from preoperative (0.32 ±0.12) to (0.78 ±0.20).The patency rate was 71.4%in patients followed up for 1 year.Conclusion Endovas-cular stenting is a minimally invasive treatment of arterial occlusion of the iliac and femoral length ,feasible,recent mid-term efficacy of good treatment,as long iliac artery occlusion preferred method of treatment .