中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
Chinese Journal of General Surgery
2015年
10期
793-795
,共3页
王雪平%叶炜%马亮亮%赫建平%刘昌伟
王雪平%葉煒%馬亮亮%赫建平%劉昌偉
왕설평%협위%마량량%혁건평%류창위
动脉闭塞性疾病%血管成形术%腔内治疗
動脈閉塞性疾病%血管成形術%腔內治療
동맥폐새성질병%혈관성형술%강내치료
Arterial occlusive diseases%Angioplasty%Endovascular treatment
目的 探讨介入治疗主-双髂动脉全闭塞性病变的可行性、安全性及疗效.方法 回顾性分析2012年1月至2013年12月北京协和医院和石家庄市第一医院采用介入治疗主-双髂动脉全闭塞性疾病35例患者的临床资料,评价其治疗的可行性、安全性及近中期疗效.结果 本组35例,男33例,女2例,平均年龄(67 ±6)岁.手术成功率100％,共置入裸支架129枚,覆膜支架4枚.无围手术期死亡,术后下肢踝肱指数(ABI)0.86 ±0.18,较术前0.28 ±0.17明显改善(P＜0.001).围手术期并发症2例,肱动脉血栓和髂动脉扩张后破裂各1例,发生率为5.7％.术后随访2 ～ 28个月,平均随访(16.5±2.3)个月,2例(5.7％)失访,3例(8.6％)术后发生支架内再闭塞行二次介入治疗.全组总体通畅率91％ (30/33).结论 介入治疗对于主双髂全闭塞性病变成功率高、中期结果较为满意.
目的 探討介入治療主-雙髂動脈全閉塞性病變的可行性、安全性及療效.方法 迴顧性分析2012年1月至2013年12月北京協和醫院和石傢莊市第一醫院採用介入治療主-雙髂動脈全閉塞性疾病35例患者的臨床資料,評價其治療的可行性、安全性及近中期療效.結果 本組35例,男33例,女2例,平均年齡(67 ±6)歲.手術成功率100％,共置入裸支架129枚,覆膜支架4枚.無圍手術期死亡,術後下肢踝肱指數(ABI)0.86 ±0.18,較術前0.28 ±0.17明顯改善(P＜0.001).圍手術期併髮癥2例,肱動脈血栓和髂動脈擴張後破裂各1例,髮生率為5.7％.術後隨訪2 ～ 28箇月,平均隨訪(16.5±2.3)箇月,2例(5.7％)失訪,3例(8.6％)術後髮生支架內再閉塞行二次介入治療.全組總體通暢率91％ (30/33).結論 介入治療對于主雙髂全閉塞性病變成功率高、中期結果較為滿意.
목적 탐토개입치료주-쌍가동맥전폐새성병변적가행성、안전성급료효.방법 회고성분석2012년1월지2013년12월북경협화의원화석가장시제일의원채용개입치료주-쌍가동맥전폐새성질병35례환자적림상자료,평개기치료적가행성、안전성급근중기료효.결과 본조35례,남33례,녀2례,평균년령(67 ±6)세.수술성공솔100％,공치입라지가129매,복막지가4매.무위수술기사망,술후하지과굉지수(ABI)0.86 ±0.18,교술전0.28 ±0.17명현개선(P＜0.001).위수술기병발증2례,굉동맥혈전화가동맥확장후파렬각1례,발생솔위5.7％.술후수방2 ～ 28개월,평균수방(16.5±2.3)개월,2례(5.7％)실방,3례(8.6％)술후발생지가내재폐새행이차개입치료.전조총체통창솔91％ (30/33).결론 개입치료대우주쌍가전폐새성병변성공솔고、중기결과교위만의.
Objective To investigate the feasibility, safety and efficiency of endovascular treatment for patients with aorto-bilateral-iliac artery total occlusive disease.Methods A total of 35 patients with aorto-bi-iliac artery total occlusive disease treated with endovascular therapy in Peking Union Medical College Hospital and the First Hospital of Shijiazhuang between Jan 2012 and Dec 2013 were retrospectively analyzed.Results There were 33 males and 2 females, mean age (67 ± 6) years treated during the study period.Technical success rate was 100％.129 bare stents and 4 covered stents were implanted.There were no peri-operative death.Postoperative leg ankle brachial index (ABI) improved significantly (0.86 vs.0.28, P ＜ 0.28).Postoperative complications occurred in 2 patients (5.7％), including brachial artery thrombosis and rupture of external iliac artery post-dilation.The mean follow-up period was 16.5 months (2-28 months).Two patients (5.7％) were lost to follow up.Re-intervention was performed in 3 patients (8.6％) due to reocclusion of the stents.Primary patency was 91％ (30/33) Conclusions Endovascular treatment is effective for aorto-bi-iliac artery total occlusive disease with low complications and acceptable mid-term patent rate.
