CAJ | 학술논문

目的总结泛大西洋协作组织(Trans-Atlantic Inter-Society Consensus,TASC)新版动脉疾病治疗指南下肢动脉硬化闭塞症分型中C、D型病变腔内治疗经验.方法回顾性分析2011年1月至2012年12月收治68例(71条肢体)下肢动脉硬化闭塞症患者临床资料.男47例,女21例;年龄55～84岁,平均(69±7)岁;病变范围:主髂动脉病变15条肢体,股浅、胭动脉病变45条肢体,髂股胭动脉多节段病变11条肢体;病变分型:TASC C级病变49条肢体;TASC D级病变22条肢体;所有患者均接受腔内治疗.结果手术成功率94.4％(67/71).68例患者术后63例获得随访,5例失访,随访率92.6％.随访3～26个月,平均(12±6)个月,随访期内踝关节以上截肢5例,总保肢率92.9％,死亡6例,死亡率8.8％.结论对于下肢动脉硬化闭塞症TASC C、D型病变,腔内治疗仍有较高的手术成功率和保肢率.
목적 총결범대서양협작조직(Trans-Atlantic Inter-Society Consensus,TASC)신판동맥질병치료지남하지동맥경화폐새증분형중C、D형병변강내치료경험.방법 회고성분석2011년1월지2012년12월수치68례(71조지체)하지동맥경화폐새증환자림상자료.남47례,녀21례;년령55～84세,평균(69±7)세;병변범위:주가동맥병변15조지체,고천、연동맥병변45조지체,가고연동맥다절단병변11조지체;병변분형:TASC C급병변49조지체;TASC D급병변22조지체;소유환자균접수강내치료.결과 수술성공솔94.4％(67/71).68례환자술후63례획득수방,5례실방,수방솔92.6％.수방3～26개월,평균(12±6)개월,수방기내과관절이상절지5례,총보지솔92.9％,사망6례,사망솔8.8％.결론 대우하지동맥경화폐새증TASC C、D형병변,강내치료잉유교고적수술성공솔화보지솔.
Objective To evaluate the endovascular treatment of TASC Ⅱ type C and D lesions in the lower limbs.Methods This is a retrospective study on the clinical data of 68 lower extremity atherosclerosis cases (71 limbs) from January 2011 to December 2012.There were 47 males,21 females,age from 55 to 84.There were 15 limbs with aortoiliac lesions,45 limbs with superficial femoral artery or popliteal artery lesions,11 limbs with multi-segment iliofemoral popliteal artery lesions.Among those there were 49 limbs with grade C lesions and 22 limbs with grade D lesions.All the patients received endovascular treatment.Results The overall success rate was 94.4％ (67/71) because treatment was discontinued in 4 patients for non tolerance.63 patients were followed up for 3 to 26 (12 ±6) months,with a follow-up rate of 92.6％.Five patients received above the ankle amputation during the follow-up period.6 patients died,mortality rate was 8.8％.Conclusions For arteriosclerosis obliterans,such as TASC grade C or D lesions,endovascular procedure still has a high success rate and good limb salvage rate.