国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
9期
604-609
,共6页
吴智慧%李震%化召辉%刘仕睿%黄必润%张文广%丁鹏绪%王志伟%徐鹏
吳智慧%李震%化召輝%劉仕睿%黃必潤%張文廣%丁鵬緒%王誌偉%徐鵬
오지혜%리진%화소휘%류사예%황필윤%장문엄%정붕서%왕지위%서붕
支架置入%经皮腔内血管成形术%动脉硬化%闭塞性%前瞻性研究%Meta分析
支架置入%經皮腔內血管成形術%動脈硬化%閉塞性%前瞻性研究%Meta分析
지가치입%경피강내혈관성형술%동맥경화%폐새성%전첨성연구%Meta분석
Stent%Percutaneous transluminal angioplasty%Arteriosclerosis%Obliterans%Prospective studies%Meta-analysis
目的 应用Meta分析的方法比较支架置入(ST)和经皮腔内血管成形术(PTA)治疗股腘动脉硬化闭塞性病变的效果.方法 检索1990年4月-2014年4月发表的前瞻性随机对照研究,应用Meta分析的方法对其进行评价.结果 15篇前瞻性随机对照研究中的2 752条肢体被纳入,其中ST组1 307条,PTA组1 445条.ST组手术成功率高于PTA组(RR:1.10,95％ CI:1.01,1.19,P=0.02),手术并发症发病率也高于PTA组(RR:1.89,95％ CI:1.23,2.88,P=0.003),但术后1年再狭窄率低于PTA组(RR:0.83,95％CI:0.71,0.97,P=0.02),术后1年再干预率也低于PTA组(RR:0.71,95％ CI:0.57,0.90,P=0.004).结论 对于治疗股腘动脉硬化闭塞性病变ST短期效果优于PTA.
目的 應用Meta分析的方法比較支架置入(ST)和經皮腔內血管成形術(PTA)治療股腘動脈硬化閉塞性病變的效果.方法 檢索1990年4月-2014年4月髮錶的前瞻性隨機對照研究,應用Meta分析的方法對其進行評價.結果 15篇前瞻性隨機對照研究中的2 752條肢體被納入,其中ST組1 307條,PTA組1 445條.ST組手術成功率高于PTA組(RR:1.10,95％ CI:1.01,1.19,P=0.02),手術併髮癥髮病率也高于PTA組(RR:1.89,95％ CI:1.23,2.88,P=0.003),但術後1年再狹窄率低于PTA組(RR:0.83,95％CI:0.71,0.97,P=0.02),術後1年再榦預率也低于PTA組(RR:0.71,95％ CI:0.57,0.90,P=0.004).結論 對于治療股腘動脈硬化閉塞性病變ST短期效果優于PTA.
목적 응용Meta분석적방법비교지가치입(ST)화경피강내혈관성형술(PTA)치료고객동맥경화폐새성병변적효과.방법 검색1990년4월-2014년4월발표적전첨성수궤대조연구,응용Meta분석적방법대기진행평개.결과 15편전첨성수궤대조연구중적2 752조지체피납입,기중ST조1 307조,PTA조1 445조.ST조수술성공솔고우PTA조(RR:1.10,95％ CI:1.01,1.19,P=0.02),수술병발증발병솔야고우PTA조(RR:1.89,95％ CI:1.23,2.88,P=0.003),단술후1년재협착솔저우PTA조(RR:0.83,95％CI:0.71,0.97,P=0.02),술후1년재간예솔야저우PTA조(RR:0.71,95％ CI:0.57,0.90,P=0.004).결론 대우치료고객동맥경화폐새성병변ST단기효과우우PTA.
Objective To evaluate the efficacy of stent and percutaneous transluminal angioplasty in the treatment of femoral artery or popliteal artery.Methods Prospective randomized controlled study were retrieved from April 1990 to April 2014.We applied the Meta-analysis to evaluate the relevant research.Results Fifteen randomized controlled study studies of 2 752 limbs were included,of which stent group 1 307,percutaneous transluminal angioplasty group 1 445.Stent group had a high success rate in compare with percutaneous transluminal angioplasty group (RR:1.10,95％ CI:1.01,1.19,P =0.02) and a high complication rate (RR:1.89,95％ CI:1.23,2.88,P =0.003) ; In 1 year follow-up,restenosis rate was lower in the stent group than percutaneous transluminal angioplasty group (RR:0.83,95 ％ CI:0.71,0.97,P =0.02) ;stent had a lower re-intervention rate(RR:0.71,95％ CI:0.57,0.90,P =0.004).Conclusions Stent had a superiority than percutaneous transluminal angioplasty for short-term results in the femoropopliteal arterial occlusive disease.
