下肢动脉闭塞性疾病的介入治疗价值
动脉闭塞性疾病；下肢；放射学,介入性,,],动脉闭塞性疾病；下肢；放射学，介入性,1资料与方法,2结果,3讨论,[参考文献]
下肢动脉闭塞性疾病的介入治疗价值 (pdf)[摘要] 目的 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 分析22例(24条肢体)下肢动脉闭塞性病变经导管动脉内溶栓、经皮腔内血管成形术(PTA)及选择性血管内支架置入术后的临床疗效。结果 除2例下肢动脉完全闭塞患者失败外，其余病例经综合介入治疗后均开通，临床症状消失或好转，踝/肱指数由0.17～0.72(平均0.41±0.15)上升为0.55~0.95(平均0.76±0.18)，随访6个月~3年，6个月、1年、2年、3年累计初次开通率分别为95.0%、85.0%、75.0%、65.0%。结论 经导管动脉溶栓、PTA及选择性支架置入为主的综合介入治疗是下肢动脉闭塞性疾病有效的治疗方法，但需严格掌握其适应证。
[关键词] 动脉闭塞性疾病；下肢；放射学，介入性
Value of interventional therapy in the treatment of lower extremity arterial occlusive diseases
YANG Jianping，XIAO Yunping,XIAO Enhua,et al.Department of Radiology,the 2nd Xiangya Hospital of Central South University，Changsha 410011,China
[Abstract] Objective To discuss the value of interventional therapy in the treatment of lower extremity arterial occlusive diseases.Methods 22 patients(24 limbs) with lower extremity artery occlusive diseases were treated by transcatheter arterial thrombolysis,PTA and selective stent implantation.Results Except for 1 patient with arterial wholly occlusive lower limbs, the patients therapy was successful, their clinical symptoms were improved or disappeared, and the ankle/brachial index of 0.41±0.15 increased to 0.76±0.18 after treatment, the endovascular cumulative primaryassisted patency rates at 6 months,1 year ......
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