摘要
目的探讨腔内治疗肢体动脉硬化性闭塞(ASO)的操作技巧及临床经验。方法对157例肢体动脉硬化性闭塞患者(166条肢体)行腔内治疗,其中48条肢体单纯进行球囊扩张,113条肢体球囊扩张后置入支架。手术结束前均行动脉造影,以了解扩张后动脉通畅情况。术后常规抗凝治疗。结果 1例腘动脉分叉以下闭塞患者和4例股浅动脉或髂动脉长段闭塞患者因导丝不能通过闭塞段而失败截肢,117条肢体足背动脉或桡动脉搏动恢复,157条肢体皮温升高。结论对肢体动脉硬化行闭塞患者,腔内介入是一种创伤小和可重复治疗方法。
Objective To explore the operation skills and clinical experience in intracavity treatment of limb arteriosclerosis obliterans（ASO）.Methods 157 cases of ASO patients（166 limbs） received the intracavity treatment,of which 48 limbs were given the simple balloon expansion,and 113 limbs were placed by stent after balloon expansion.Before the end of operation,all patients were performed with artery angiography in order to understand the situation of arterial patency after the expansion.The anticoagulant therapy was generally used in the post-operation.Results One case of popliteal artery bifurcation occlusion patients and 4 cases strands of shallow artery or iliac artery long block patients received amputation due to the guide wire failed to go through the block section.The pulsation of dorsalis pedis or radial artery was recovered in 117 limbs,and the skin temperature raised in 157 limbs.Conclusion For the ASO patients,the intracavity intervention is a kind of small trauma and repeatable treatment.
出处
《中国临床保健杂志》
CAS
2013年第1期32-34,共3页
Chinese Journal of Clinical Healthcare
关键词
动脉硬化
闭塞性
血管造影术
血管假体植入
Arteriosclerosis obliterans
Angiography
Blood vessel prosthesis implantation
