摘要
目的探究腔内血管成形术治疗老年下肢动脉硬化闭塞症患者的疗效及安全性。方法选取我院2016年11月至2018年5月收治的80例老年下肢动脉硬化闭塞症患者,按照随机数字表法分两组,各40例。对照组给予行下肢动脉旁路移植术治疗,观察组给予腔内血管成形术治疗。观察对比两组手术基本情况、踝肱指数(ABI)、患肢皮温、足背动脉血流动力学指标、视觉模拟评分法(VAS)、感觉神经传导速度(SNCV)、运动神经传导速度(MNCV)和并发症发生率。结果两组手术保肢率、通畅率、成功率比较,无显著差异(P>0.05);手术后3个月,观察组ABI指数和足背动脉血流量较对照组高,足背动脉血流峰速较对照组低(P<0.05);手术后3个月,观察组VAS分值较对照组低,SNCV和MNCV较对照组高(P<0.05);观察组并发症发生率较对照组低(P<0.05)。结论腔内血管成形术治疗老年下肢动脉硬化闭塞症患者的疗效显著,可改善患者踝肱指数、足背动脉血流动力学指标和神经传导速度,降低并发症发生率,安全性较高。
Objective To investigate the efficacy and safety of Angioplasty in the treatment of elderly patients with Arteriosclerosis Syndrome.Methods 80 elderly patients with lower extremity arteriosclerosis were selected from November 2016 to May 2018,and divided into two groups according to random number table,40 cases in each group.The control group was treated with lower limb artery bypass grafting,and the observation group was treated with Angioplasty.Objective:to observe and compare the operation basic situation,ankle-brachial index(Abi),skin temperature of affected limb,index of Dorsalis Pedis Artery Hemodynamics,visual analogue scale(Vas),sensory nerve conduction velocity(SNCV),motor nerve conduction velocity(MNCV)and complication rate between the two groups.Results There was no significant difference in limb-preserving rate,patency rate and success rate between the two groups(P>0.05).At 3 months after operation,the Abi Index and the blood flow of the dorsalis pedis artery in the observation group were higher than those in the control group,and the blood flow peak velocity of the Dorsalis Pedis artery was lower than that in the control group(P<0.05)At 3 months after operation,the VAS score of the observation group was lower than that of the control group,SNCV and MNCV were higher than that of the control group(P<0.05),and the complication rate of the Observation Group was lower than that of the control group(P<0.05).Conclusion endovascular Angioplasty is effective in the treatment of elderly patients with arteriosclerosis occlusive disease.It can improve the ankle brachial index,Hemodynamics index and nerve conduction velocity of the Dorsalis Pedis,and reduce the incidence of complications It's safer.
作者
王拥军
WANG Yong-jun(Changyuan County People's Hospital,Department of Surgery,Department 2,Changyuan County,Henan 453400 China)
出处
《内蒙古医学杂志》
2019年第12期1411-1413,共3页
Inner Mongolia Medical Journal
