| 多种介入技术联合治疗周围动脉闭塞性疾病 |
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| 引用本文： | 张希全,凌宝存,潘晓琳,朱伟,董戈,郭锋. 多种介入技术联合治疗周围动脉闭塞性疾病[J]. 中国普外基础与临床杂志, 2010, 17(2) |
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| 作者姓名： | 张希全 凌宝存 潘晓琳 朱伟 董戈 郭锋 |
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| 作者单位： | 1. 解放军一四八医院介入心内科,山东淄博,255300
2. 解放军一四八医院普外科,山东淄博,255300 |
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| 基金项目： | 军队"十一五"医药卫生计划课题 |
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| 摘 要： | 目的探讨腔内溶栓、血栓碎吸、经皮血管成形(percutaneous transcathete angioplasty,PTA)和经皮血管内支架成形术(percutaneous transtuminl angioplasty and stenting,PTAS)联合治疗周围动脉闭塞性疾病(pe-ripheral arterial obliterans disease,PAOD)的临床效果和应用价值。方法选取1994年5月至2008年5月期间在我院接受介入治疗的285例PAOD患者,其中63例急性动脉血栓性闭塞行血栓碎吸+腔内溶栓,61例动脉狭窄合并急性血栓闭塞行腔内溶栓+PTA,161例慢性动脉狭窄阻塞行腔内溶栓+PTA+PTAS。结果介入治疗有效率为98.25%(280/285)。腔内溶栓+血栓碎吸成功率为96.83%(61/63),血管完全开通者达88.89%(56/63),部分开通者占7.94%(5/63),无效者占3.17%(2/63);腔内溶栓+PTA成功率为85.25%(52/61),9例辅以内支架置入治疗均获得成功;PTA+PTAS成功率为98.14%(158/161)。并发症发生率为7.02%(20/285),其中腔内溶栓+血栓碎吸5例,腔内溶栓+PTA9例,PTA+PTAS6例。结论多种介入技术联合治疗周围动脉急、慢性闭塞疾病,可使闭塞血管得到长期有效的开通,显著提高血流动力学指标,是安全、有效的治疗方法。
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| 关 键 词： | 动脉闭塞性疾病 腔内溶栓 血管成形术 支架成形术 介入放射学 |
United Treatment of Interventional Technique for Peripheral Arterial Obliterans Disease |
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| ZHANG Xi-quan,LING Bao-cun,PAN Xiao-lin,ZHU Wei,DONG Ge,GUO Feng. United Treatment of Interventional Technique for Peripheral Arterial Obliterans Disease[J]. Chinese Journal of Bases and Clinics In General Surgery, 2010, 17(2) |
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| Authors: | ZHANG Xi-quan LING Bao-cun PAN Xiao-lin ZHU Wei DONG Ge GUO Feng |
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| Affiliation: | ZHANG Xi-quan1,LING Bao-cun2,PAN Xiao-lin1,ZHU Wei1,DONG Ge1,GUO Feng1. 1.Department of Interventional Cardiology,The 148th Hospital of PLA,Zibo 255300,Sh,ong Province,China,2.Department of General Surgery |
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| Abstract: | Objective To study the effect of the intracavity thrombolysis,aspiration of debris,percutaneous transcathete angioplasty (PTA) and percutaneous transtuminl angioplasty and stenting (PTAS) on treating peripheral arterial obliterans disease (PAOD). Methods From May 1994 to May 2008,interventional treatment was performed in 285 patients with PAOD. Intracavity thrombolysis and aspiration of debris were performed in 63 patients suffering from acute arterial occlusion. Intracavity thrombolysis and PTA were perfor... |
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| Keywords: | Arterial occlusive diseases Intracavity thrombolysis Angioplasty Stent angioplasty Interventional radiology |
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