CAJ | 학술논문

目的总结下肢动脉硬化闭塞症介入治疗临床效果,分析其主要并发症的原因及应对措施.方法回顾性分析山西省人民医院血管外科从201 1年10月至2013年1月行介入治疗的下肢动脉硬化闭塞症72患者的临床资料,其中外院行下肢介入治疗而出现并发症的患者3例(1例为股浅动静脉瘘合并假性动脉瘤,2例为股浅动脉支架断裂).按泛大西洋协作组织2007年标准分级,A级8例,B级21例,C级20例,D级22例(除外1例动静脉瘘患者).全部患者行CT动脉成像或数字减影血管造影检查,70例行介入治疗,2例支架断裂者行髂外-股浅动脉人工血管搭桥术.结果 70例介入治疗技术成功率为100％,2例搭桥者术后患者症状消失.介入治疗中,1例髂动脉破裂,1例患者出现远端动脉穿孔,3例远端动脉栓塞.68例患者获得随访,随访率为94.44％,随访时间为3 ～15个月,平均(9±4)个月.结论介入治疗的近期效果良好.要把握介入治疗的适应证,对C、D级病变细心操作,可减少并发症的发生.
목적 총결하지동맥경화폐새증개입치료림상효과,분석기주요병발증적원인급응대조시.방법 회고성분석산서성인민의원혈관외과종201 1년10월지2013년1월행개입치료적하지동맥경화폐새증72환자적림상자료,기중외원행하지개입치료이출현병발증적환자3례(1례위고천동정맥루합병가성동맥류,2례위고천동맥지가단렬).안범대서양협작조직2007년표준분급,A급8례,B급21례,C급20례,D급22례(제외1례동정맥루환자).전부환자행CT동맥성상혹수자감영혈관조영검사,70례행개입치료,2례지가단렬자행가외-고천동맥인공혈관탑교술.결과 70례개입치료기술성공솔위100％,2례탑교자술후환자증상소실.개입치료중,1례가동맥파렬,1례환자출현원단동맥천공,3례원단동맥전새.68례환자획득수방,수방솔위94.44％,수방시간위3 ～15개월,평균(9±4)개월.결론 개입치료적근기효과량호.요파악개입치료적괄응증,대C、D급병변세심조작,가감소병발증적발생.
Objective To summarize the clinical efficacy of interventional treatment for lower extremity arteriosclerosis obliterans and its complications.Methods We analyzed sixty-nine patients with lower extremities arteriosclerosis obliterans undergoing interventional treatment from October 2011 to January 2013.During the same period,three patients were referred to us who suffered from the complications of interventional treatment.In these patients,eight were TASC ⅡA type,twenty-one were TASC Ⅱ B,twenty TASC Ⅱ C,and twenty-two TASC Ⅱ D lesions.All patients received CTA or DSA.Seventy patients were treated by interventional treatment,and two who had fractured stent underwent external iliacsuperficial femoral artery bypass grafting using artificial grafts.Results The technique success rate was 100％.The symptoms disappeared after surgery.During interventional treatment,one iliac artery ruptured,one patient suffered from arterial perforation and three patients suffered from distal embolization.Sixty-eight patients were followed-up for 9 ± 4 months.Conclusions Endovascular treatment has good early clinical efficacy.In order to reduce the incidence of complications,indication of interventional treatment should be controlled strictly and manipulation should be careful.