| 高龄患者股腘动脉硬化闭塞症的腔内治疗 |
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| 引用本文： | 王中华|陈学东|鲁静|田磊|杨晓冬|王世华|王育红.高龄患者股腘动脉硬化闭塞症的腔内治疗[J].中国普通外科杂志,2011,20(12):1307-1310. |
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| 作者姓名： | 王中华|陈学东|鲁静|田磊|杨晓冬|王世华|王育红 |
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| 作者单位： | 解放军海军总医院普通外科; |
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| 摘 要： | 目的探讨高龄患者股腘动脉硬化闭塞症腔内治疗的技术特点和临床效果。方法回顾性分析2009年3月—2011年1月采用经皮腔内血管成形术(PTA)结合支架植入术进行腔内治疗高龄股腘动脉硬化闭塞症患者50例(62条肢体)的临床资料,其中男30例(38条肢体),女20例(24条肢体);年龄70～88(平均78.5)岁,病程3个月至5年,病变位于股腘及膝下动脉。结果治疗成功58条肢体,技术成功率为93.5%(58/62)。围手术期并发症5例,占8.06%(5/62),其中穿刺处假性动脉瘤形成1例,动脉穿孔1例,动脉夹层2例,心衰1例。根据情况予以处理后均缓解,围手术期无死亡病例。术后第1周踝/肱指数(ABI)由术前的0.58±0.22增至0.88±0.25(t=7.09,P<0.001),术后12个月和24个月肢体一期通畅率分别为80.0%(32/40)和68.8%(22/32),二期通畅率分别为85.0%(34/40)和75.0%(24/32),术后24个月肢体保全率为93.8%(30/32),2例因糖尿病足伴足趾坏死,行保留足跟截趾术。结论腔内治疗高龄股腘动脉硬化闭塞症患者近期效果好,技术成功率高,并发症少,注意围手...
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| 关 键 词： | 动脉硬化 闭塞性/治疗 股动脉 腘动脉 血管成形术 气囊 老年人 |
| 收稿时间： | 2011/5/31 0:00:00 |
| 修稿时间： | 2011/10/14 0:00:00 |
Endovascular treatment of femoropopliteal arteriosclerosis obliterans in elderly patients |
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| WANG Zhonghu,CHEN Xuedong,LU Jing,TIAN Lei,YANG Xiaodong,WANG Shihu,WANG.Endovascular treatment of femoropopliteal arteriosclerosis obliterans in elderly patients[J].Chinese Journal of General Surgery,2011,20(12):1307-1310. |
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| Authors: | WANG Zhonghu CHEN Xuedong LU Jing TIAN Lei YANG Xiaodong WANG Shihu WANG |
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| Institution: | WANG Zhonghua,CHEN Xuedong,LU Jing,TIAN Lei,YANG Xiaodong,WANG Shihua,WANG Yuhong(Department of General Surgery,Navy General Hospital of PLA,Beijing 100048,China) |
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| Abstract: | Objective To investigate the technical features and clinical efficacy of endovascular treatment of femoropopliteal arteriosclerosis obliterans in elderly patients.Methods The clinical data of 50 elderly patients(62 limbs) with femoropopliteal arteriosclerosis obliterans undergoing endovascular treatment using percutaneous transluminal angioplasty(PTA) and stent implantation from March 2009 to January 2011 in our hospital were retrospectively analyzed.There were 30 male patients(38 limbs) and 20 female patie... |
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| Keywords: | Arteriosclerosis Obliterans/ther Femoral Artery Popliteal Artery Angioplasty Balloon Aged |
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