下肢动脉硬化闭塞症的血管腔内治疗

目的探讨血管腔内治疗下肢动脉硬化闭塞症的体会。方法选择自2005年7月～2006年11月应用腔内介入技术治疗下肢动脉硬化闭塞症病人11例,通过分析临床症状和术前,术后踝/肱指数来评价疗效。结果术后造影显示病变开通,支架形态良好。静息痛患者术后疼痛消失,溃疡患者术后溃疡愈合。踝/肱指数由术前的0.25提高至术后的0.67。随访2～9个月,平均5.6个月。1例术后2个月再次出现静息痛,超声显示动脉再闭塞。其余患者随访期间未发现症状加重。结论血管腔内治疗下肢动脉硬化闭塞症安全,有效,近期效果良好。

Endovascular treatment of arteriosclerosis occlusive disease of lower extremities

Objective To investigate endovascular treatment for arteriosclerosis occlusive disease of lower extremities.Methods Eleven cases of arteriosclerosis occlusive disease of lower extremities underwent endovascular treatment from July 2005 to November 2006,Effects was evaluated by comparing the clinical symptoms and ankle /brachial index.Results Postoperative DSA revealed successful treatment in all cases.Rest pain was alleviated in rest pain patients,Ulcer was healed in ulcer patients.Ankle /brachial index rised from 0.25 to 0.67 after treatment.The patients were followed up for 2 to 9 months(mean 5.6 months),no patient except one recurred rest pain.Conclusion Endovascular interventional treatment is microinvasive,safe and effective for patients of arteriosclerosis occlusive disease of lower extremities.