| 膝下动脉闭塞的腔内治疗 |
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| 引用本文： | 陆峰,张皓,梁卫,张纪蔚,张柏根.膝下动脉闭塞的腔内治疗[J].中华普通外科杂志,2003,24(1):436-439. |
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| 作者姓名： | 陆峰 张皓 梁卫 张纪蔚 张柏根 |
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| 作者单位： | 200127,上海交通大学医学院附属仁济医院血管外科;200082,上海市中西医结合医院微创外科;上海交通大学医学院附属仁济医院血管外科,200127; |
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| 摘 要： | Objective To evaluate the results of endovascular intervention for infrapopliteal arterial occlusion in 40 patients. Methods There were 41 affected limbs in these 40 patients receiving 44 times of endovascular intervention for infrapopliteal arterial occlusion during Nov. 2006 and Dec. 2007. The average age was 76±6. The ABI(ankle brachial index)before intervention was 0.39±0.20 in anterior tibial artery and 0.39±0.23 in posterior tibial artery. CLI (critical limb ischemia) was 80.49% (33/41). Results The after intervention ABI increased by 0.43±0.22 (P<0.01) in anterior tibial artery and 0.43±0.25(P<0.01)in posterior tibial artery. 35 patients (36 limbs) were followed-up for (6±3) months. The limbs of Fontaine Ⅰ and Fontaine Ⅱ A were 28 (77.78%), CLI decreased to 19.44% (7/36) (P<0.01). At follow-up the ABI in anterior tibial artery was 0.63±0.22 and 0.56±0.22 in posterior tibial artery. The difference were all significant when compared with that before intervention and after intervention. The perioperative amputation rate was 0. The perioperative mortality rate was 2.5%. The total mortality rate was 15%. The limb salvage rate were 100%. Conclusion The effect of endovascular intervention for infrapopliteal arterial occlusion is satisfactory.
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| 关 键 词： | 动脉闭塞性疾病 血管成形术 气囊 保肢 踝/肱指数 膝下动脉 |
Endovascular intervention for infrapopliteal arterial occlusion |
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| LU Feng,ZHANG Hao,LIANG Wei,ZHANG Ji-wei,ZHANG Bai-gen.Endovascular intervention for infrapopliteal arterial occlusion[J].Chinese Journal of General Surgery,2003,24(1):436-439. |
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| Authors: | LU Feng ZHANG Hao LIANG Wei ZHANG Ji-wei ZHANG Bai-gen |
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| Abstract: | |
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| Keywords: | Arterial occlusive diseasesAngiplasty balloonLimb salvageAnkle brachial indexInfrapopliteal artery |
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