【摘要】：目的探討介入治療下肢動(dòng)脈硬化閉塞癥(ASO)的效果及影響術(shù)后復(fù)發(fā)的相關(guān)因素。方法回顧性分析2011年1月至2014年10月介入治療的137例下肢ASO患者(184條患肢)臨床資料,術(shù)后隨訪18個(gè)月,分期觀察患者術(shù)后血管通暢性及影響復(fù)發(fā)的因素。結(jié)果介入技術(shù)成功率在髂動(dòng)脈、股乆動(dòng)脈、膝下動(dòng)脈病變分別為97.4%、92.5%、88.6%,在TASCⅡA型、B型、C型、D型病變分別為97.4%、96.1%、89.7%、87.0%。術(shù)后隨訪發(fā)現(xiàn)膝下動(dòng)脈病變血管通暢率較髂動(dòng)脈及股乆動(dòng)脈病變降低(P0.05),TASCⅡC、D型病變?cè)侏M窄率高于A、B型病變(P0.05);多因素Cox回歸模型分析提示糖尿病、吸煙、高血脂是影響術(shù)后復(fù)發(fā)的獨(dú)立危險(xiǎn)因素。結(jié)論介入治療下肢ASO安全、有效,術(shù)后再狹窄率與病變血管解剖位置及分型相關(guān),有效控制血糖、戒煙、降脂有助于降低術(shù)后復(fù)發(fā)率。
[Abstract]:Objective to investigate the effect of interventional therapy on (ASO) of lower extremity arteriosclerosis obliterans and the related factors of postoperative recurrence. Methods the clinical data of 137 patients with lower extremity ASO (184 limbs) treated by interventional therapy from January 2011 to October 2014 were retrospectively analyzed. The patients were followed up for 18 months. Results the success rate of interventional technique in iliac artery, femoral artery and inferior genu artery was 97.4and 92.5, respectively. In TASC 鈪，

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