介入治疗在下肢动脉闭塞性疾病中的临床应用价值分析

Clinical value of interventional therapy in arterial occlusive disease of lower extremities

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DOI 10.12208/j.ijcr.20220502
刊名
International Journal of Clinical Research
年,卷(期) 2022, 6(10)
作者
作者单位

故城县医院 河北衡水 ;

摘要
探讨介入治疗在下肢动脉闭塞性疾病中的临床应用价值。方法 随机抽取50例下肢动脉闭塞性疾病患者进行分析,选取时间是2020年1月-2022年1月,对其实施导管动脉内溶栓、PTA(经皮腔内血管成形术)和选择性血管内支架置入术患者50例,探讨介入治疗在下肢动脉闭塞性疾病中的临床疗效。结果 50例患者,47例开通成功,3例完全闭塞未开通患者实施搭桥术。9例患者进行单纯溶栓,1例患者进行溶栓后给予球囊扩张成形,4例患者进行球囊扩张成形,33例患者采用球囊扩张成形及腔内支架。47例患者通过血管腔内介入治疗后45例患者症状消失,2例患者症状改善。PTA和血管内支架置入术手术后6个月3例患者在原位置再次出现狭窄;PTA和血管内支架置入术患者术后1-2年分别有5例患者出现再次狭窄。结论 下肢动脉闭塞性疾病治疗过程中采用导管动脉内溶栓、PTA、支架置入术为有效疗法,临床中需要依据患者病情选择合适疗法。
Abstract
Objective: To explore the clinical value of interventional therapy in arterial occlusive disease of lower limbs. Methods: 50 patients with arterial occlusive disease of the lower extremities were randomly selected and analyzed. The selected time was from January 2021 to January 2022. Catheter intra-arterial thrombolysis, PTA (percutaneous transluminal angioplasty) and selective endovascular stent placement were performed on them to explore their clinical effects. Results: after treatment, 7 of the 50 patients had a degree of patency of more than 80%, and 4 patients with complete occlusion without patency underwent bypass surgery. After PTA and stent implantation, the degree of patency ranged from 90% to 100%; After 46 patients were treated by endovascular intervention, 35 patients symptoms disappeared and 11 patients symptoms improved. 6 months after the operation, 2 patients had restenosis in the original position, and 1 patient had restenosis 1-3 years after the operation. Conclusion: in the treatment of arterial occlusive disease of lower extremities, catheter intra-arterial thrombolysis and PTA are effective therapies. In clinical practice, it is necessary to select appropriate therapies according to the patients condition.
关键词
介入治疗;下肢动脉闭塞性疾病;应用价值
KeyWord
Interventional therapy; Arterial occlusive disease of lower limbs; Application value
基金项目
页码 172-174
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于海峰*. 介入治疗在下肢动脉闭塞性疾病中的临床应用价值分析 [J]. 国际临床研究杂志. 2022; 6; (10). 172 - 174.

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