發(fā)布時(shí)間：2018-02-20 23:13

  本文關(guān)鍵詞： 導(dǎo)管插入術(shù) 外周 外周動(dòng)脈疾病 動(dòng)脈硬化 閉塞性 腔內(nèi)治療 股淺動(dòng)脈 病例對(duì)照研究　出處：《北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年01期 　論文類型：期刊論文

【摘要】：目的:評(píng)價(jià)忽略股淺動(dòng)脈重建治療慢性下肢動(dòng)脈硬化閉塞癥的安全性和有效性。方法:應(yīng)用前瞻性的隨機(jī)病例對(duì)照研究方法對(duì)忽略股淺動(dòng)脈重建治療慢性下肢動(dòng)脈硬化閉塞癥的有效性和安全性進(jìn)行評(píng)價(jià),將北京大學(xué)第三醫(yī)院2014年5月至2015年3月36例下肢動(dòng)脈硬化閉塞癥患者隨機(jī)分為股淺動(dòng)脈重建組(20條患肢)和非重建組(16條患肢),重建組均采用腔內(nèi)治療重建股淺動(dòng)脈血運(yùn),非重建組均不重建股淺動(dòng)脈,僅處理同時(shí)存在的髂動(dòng)脈及股深動(dòng)脈病變,比較兩組患者臨床療效、并發(fā)癥及治療費(fèi)用。結(jié)果:兩組患者的年齡、性別構(gòu)成、治療前踝肱指數(shù)、TASC(trans-atlantic inter-sociery consensus)分級(jí)及Rutherford分級(jí)均具有可比性(P0.05),術(shù)后1周內(nèi)重建組顯效率和總有效率均優(yōu)于非重建組[75.0%vs.12.5%(P0.001);90.0%vs.37.5%(P=0.001)],兩組均無(wú)圍手術(shù)期并發(fā)癥及死亡病例。3個(gè)月隨訪時(shí)重建組顯效率優(yōu)于非重建組[65.0%vs.25.0%(P=0.017)],兩組總有效率差異無(wú)統(tǒng)計(jì)學(xué)意義[85.0%vs.68.8%(P=0.422)];6個(gè)月和12個(gè)月隨訪時(shí)兩組顯效率及總有效率差異均無(wú)統(tǒng)計(jì)學(xué)意義[顯效率60.0%vs.37.5%(P=0.180),80.0%vs.87.5%(P=0.672);總有效率60.0%vs.43.8%(P=0.332),85.0%vs.87.5%(P=1.000)],重建組治療費(fèi)用高于非重建組[(53 367.4±24 518.3)元vs.(30 397.5±15 354.4)元(P=0.011)]。重建組隨訪期間發(fā)現(xiàn)股淺動(dòng)脈再狹窄/閉塞者8例,其中3例再次介入治療,再次腔內(nèi)治療率為15.0%。結(jié)論:忽略股淺動(dòng)脈重建治療慢性下肢動(dòng)脈硬化閉塞癥安全、有效、經(jīng)濟(jì),可以作為部分外周動(dòng)脈疾病患者的首選治療方法。
[Abstract]:Objective: to evaluate the safety and efficacy of neglect superficial femoral artery reconstruction in the treatment of chronic arteriosclerosis obliterans of lower extremity. Methods: a prospective randomized case-control study was used to treat chronic lower extremity motility with neglect of superficial femoral artery reconstruction. To evaluate the efficacy and safety of pulse sclerosing obliteration, From May 2014 to March 2015, 36 patients with arteriosclerosis obliterans of lower extremity were randomly divided into superficial femoral artery reconstruction group (n = 20) and non-reconstruction group (n = 16). In the non-reconstruction group, the superficial femoral artery was not reconstructed, but the lesions of iliac artery and deep femoral artery were only treated. The clinical efficacy, complications and cost of treatment were compared between the two groups. Results: the age and sex composition of the two groups were compared. Before treatment, the malleolus brachial index (malleolus brachial index) and the Rutherford grade were comparable (P 0.05). The effective rate and the total effective rate in the reconstruction group were higher than those in the non-reconstruction group within one week after operation [75.0 vs.12.5mb P 0.001]. There were no perioperative complications and death cases in both groups. The effective rate of the construction group was better than that of the non-reconstruction group [65.0 vs.25.00.0.17], and there was no significant difference in the total effective rate between the two groups [85.0 vs.68.8and P0.422]; there was no significant difference in the effective rate and the total effective rate between the two groups at the follow-up of 6 and 12 months [the significant efficiency was 60.0vs.37.50.180vs.87.5vs.87.5P0.672; the total effective rate was 60.0vs.43.8m P0.332ng. 85.0vs.87.50.000]. The cost was higher than that in the non-reconstruction group [53 367.4 鹵24 518.3 vs.(30 397.5 鹵15 354.4]. In the reconstruction group, the superficial femoral artery restenosis / occlusion was found in 8 cases during the follow-up. Conclusion: ignoring the reconstruction of superficial femoral artery in the treatment of chronic lower extremity arteriosclerosis obliteration is safe, effective and economical, and can be used as the first choice for some patients with peripheral artery disease.
【作者單位】： 北京大學(xué)第三醫(yī)院介入血管外科;
【分類號(hào)】：R654.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 Therasse E.;Donath D.;Lespérance J. ;丁倩;;體外放射用于預(yù)防股淺動(dòng)脈球囊血管成形術(shù)后再狹窄[J];世界核心醫(yī)學(xué)期刊文摘(心臟病學(xué)分冊(cè));2005年11期

2 湯敬東;成明;甘樹(shù)杰;馮怡雯;張慈;明旭;李克;錢水賢;;應(yīng)用去股淺動(dòng)脈交感神經(jīng)化治療血栓閉塞性脈管炎3例[J];中國(guó)血管外科雜志(電子版);2014年01期

3 鄭加賀;郭啟勇;劉兆玉;暢智慧;盧再鳴;張軍;溫鋒;單明;;雙向內(nèi)膜下成形術(shù)在股淺動(dòng)脈長(zhǎng)段閉塞介入治療中的應(yīng)用[J];中國(guó)醫(yī)學(xué)影像學(xué)雜志;2011年03期

4 樓文勝;顧建平;何旭;陳亮;陳國(guó)平;蘇浩波;宋進(jìn)華;汪濤;徐克;;內(nèi)膜下成形術(shù)治療股淺動(dòng)脈長(zhǎng)段閉塞[J];介入放射學(xué)雜志;2011年10期

5 胡松杰;魯俊;郎德海;;內(nèi)膜下成型術(shù)治療股淺動(dòng)脈長(zhǎng)節(jié)段閉塞15例報(bào)道[J];中國(guó)現(xiàn)代醫(yī)生;2011年29期

6 谷涌泉;張建;齊立行;李建新;俞恒錫;李學(xué)鋒;郭連瑞;崔世軍;汪忠鎬;;下肢動(dòng)脈支架與單純球囊擴(kuò)張成形治療股淺動(dòng)脈病變的對(duì)比性研究[J];中國(guó)血管外科雜志(電子版);2010年02期

7 王愛(ài)林;徐恒;吳永杰;劉麗;韓盛輝;;股淺動(dòng)脈長(zhǎng)段閉塞的治療[J];中國(guó)血管外科雜志(電子版);2011年04期

8 武云濤;朱潤(rùn)秀;陳艷梅;任鴻坤;高迎春;袁軍;;老年冠心病患者肱動(dòng)脈及股淺動(dòng)脈舒張功能的研究[J];解放軍醫(yī)學(xué)雜志;2008年09期

9 林開(kāi)勤;胡曉鋼;何建榮;金紅來(lái);;經(jīng)乆動(dòng)脈入路逆行治療同側(cè)股淺動(dòng)脈近端狹窄和閉塞的臨床應(yīng)用[J];介入放射學(xué)雜志;2011年12期

10 陸華;曲樂(lè)豐;景在平;;外周支架和藥物洗脫球囊在股淺動(dòng)脈病變腔內(nèi)治療中的研究進(jìn)展[J];外科理論與實(shí)踐;2009年03期

相關(guān)會(huì)議論文 前5條

1 張鴻坤;李鳴;金煒;;股淺動(dòng)脈長(zhǎng)段閉塞腔內(nèi)支架治療—單中心的中期研究[A];2009年浙江省外科學(xué)學(xué)術(shù)年會(huì)論文匯編[C];2009年

2 張鴻坤;李鳴;金煒;田路;陳旭東;;股淺動(dòng)脈長(zhǎng)段閉塞腔內(nèi)支架治療的研究[A];2008年浙江省外科學(xué)術(shù)年會(huì)論文匯編[C];2008年

3 張鴻坤;李鳴;金煒;田路;陳旭東;;股淺動(dòng)脈長(zhǎng)段閉塞腔內(nèi)支架治療的研究[A];2008年浙江省血管外科年會(huì)論文匯編[C];2008年

4 張鴻坤;李鳴;金煒;;股淺動(dòng)脈長(zhǎng)段閉塞腔內(nèi)支架治療—單中心的中期研究[A];2009全國(guó)中西醫(yī)結(jié)合周圍血管疾病學(xué)術(shù)交流會(huì)論文集[C];2009年

5 林開(kāi)勤;胡曉鋼;何建榮;金紅來(lái);郭曉華;;經(jīng)乆動(dòng)脈入路逆行治療同側(cè)股淺動(dòng)脈近端狹窄和閉塞的臨床應(yīng)用[A];2012年浙江省放射學(xué)術(shù)年會(huì)論文集[C];2012年

相關(guān)碩士學(xué)位論文 前1條

1 楊春雨;經(jīng)皮腔內(nèi)血管成形術(shù)治療股淺動(dòng)脈長(zhǎng)段閉塞的臨床研究[D];大連醫(yī)科大學(xué);2013年

，

本文編號(hào)：1520303