中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2014年
8期
580-583
,共4页
马天宇%谷涌泉%郭连瑞%李学锋%齐立行%佟铸%郭建明
馬天宇%穀湧泉%郭連瑞%李學鋒%齊立行%佟鑄%郭建明
마천우%곡용천%곽련서%리학봉%제립행%동주%곽건명
闭塞性动脉硬化%支架%糖尿病%预后
閉塞性動脈硬化%支架%糖尿病%預後
폐새성동맥경화%지가%당뇨병%예후
Arteriosclerosis obliterans%Stents%Diabetes mellitus%Prognosis
目的 探讨糖尿病对下肢动脉硬化闭塞症患者行股腘动脉支架置入术后支架通畅率及临床预后的影响.方法 回顾性总结2006年1月至2012年12月在首都医科大学宣武医院血管外科成功接受股腘动脉支架成形术治疗的下肢动脉硬化闭塞症患者的临床资料,分成糖尿病组和非糖尿病组,对比分析2组患者术后的支架一期通畅率、辅助通畅率、保肢率和生存率.结果 本研究入组患者291例(332条肢体),糖尿病组患者193例(214条肢体),非糖尿病组患者98例(118条肢体).平均随访(34±18)个月.患者术后5年的支架总体一期通畅率、辅助通畅率、保肢率及生存率分别为23.2％、35.3％、89.2％和69.6％.单因素分析显示,糖尿病患者术后5年的支架一期通畅率、保肢率及生存率均低于非糖尿病患者,但2组患者支架的辅助通畅率差异无统计学意义.Cox多因素回归分析证实,女性患者支架的一期通畅率低于男性,严重膝下血管病变和高血压与保肢率降低有关,而年龄则是影响患者生存率的唯一独立因素.结论 糖尿病是影响股腘动脉支架一期通畅率、保肢率和生存率的危险因素,但不是独立危险因素.
目的 探討糖尿病對下肢動脈硬化閉塞癥患者行股腘動脈支架置入術後支架通暢率及臨床預後的影響.方法 迴顧性總結2006年1月至2012年12月在首都醫科大學宣武醫院血管外科成功接受股腘動脈支架成形術治療的下肢動脈硬化閉塞癥患者的臨床資料,分成糖尿病組和非糖尿病組,對比分析2組患者術後的支架一期通暢率、輔助通暢率、保肢率和生存率.結果 本研究入組患者291例(332條肢體),糖尿病組患者193例(214條肢體),非糖尿病組患者98例(118條肢體).平均隨訪(34±18)箇月.患者術後5年的支架總體一期通暢率、輔助通暢率、保肢率及生存率分彆為23.2％、35.3％、89.2％和69.6％.單因素分析顯示,糖尿病患者術後5年的支架一期通暢率、保肢率及生存率均低于非糖尿病患者,但2組患者支架的輔助通暢率差異無統計學意義.Cox多因素迴歸分析證實,女性患者支架的一期通暢率低于男性,嚴重膝下血管病變和高血壓與保肢率降低有關,而年齡則是影響患者生存率的唯一獨立因素.結論 糖尿病是影響股腘動脈支架一期通暢率、保肢率和生存率的危險因素,但不是獨立危險因素.
목적 탐토당뇨병대하지동맥경화폐새증환자행고객동맥지가치입술후지가통창솔급림상예후적영향.방법 회고성총결2006년1월지2012년12월재수도의과대학선무의원혈관외과성공접수고객동맥지가성형술치료적하지동맥경화폐새증환자적림상자료,분성당뇨병조화비당뇨병조,대비분석2조환자술후적지가일기통창솔、보조통창솔、보지솔화생존솔.결과 본연구입조환자291례(332조지체),당뇨병조환자193례(214조지체),비당뇨병조환자98례(118조지체).평균수방(34±18)개월.환자술후5년적지가총체일기통창솔、보조통창솔、보지솔급생존솔분별위23.2％、35.3％、89.2％화69.6％.단인소분석현시,당뇨병환자술후5년적지가일기통창솔、보지솔급생존솔균저우비당뇨병환자,단2조환자지가적보조통창솔차이무통계학의의.Cox다인소회귀분석증실,녀성환자지가적일기통창솔저우남성,엄중슬하혈관병변화고혈압여보지솔강저유관,이년령칙시영향환자생존솔적유일독립인소.결론 당뇨병시영향고객동맥지가일기통창솔、보지솔화생존솔적위험인소,단불시독립위험인소.
Objective To analyze the influence of diabetes mellitus (DM) on the outcomes of percutaneous transluminal angioplasty (PTA) with stenting of femoropopliteal artery,in patients with atherosclerotic occlusive disease (ASO).Method Clinical data of inpatients who successfully received PTA with stenting procedures of femoropopliteal artery in Xuanwu Hospital from January 2006 to December 2012 were analyzed retrospectively.Patients were stratified into DM and non-DM groups.Results were compared between the two groups including primary patency (PP),assisted patency (AP),limb salvage and survival using Kaplan-Meier life table and Cox regression analyses.Result Totally 291 patients underwent 332 procedures.There were 214 DM and 118 non-DM limbs.Mean follow-up was 34 months.The 5-year PP was 23.2％,AP was 35.3％,limb salvage was 89.2％,and survival was 69.6％.DM was associated with lower 5-year PP,limb salvage,and survival than non-DM.But there were no significant difference in AP between the two groups.Females were associated with decreased PP than males on Cox multivariate analysis.Hypertension and below tibial diseases were associated with lower limb salvage rate and age is the only predictor of survival rate.Conclusions DM is a risk factor for poor outcomes after PTA with stenting procedures.
