血管腔内治疗重症下肢缺血临床体会.docVIP

血管腔内治疗重症下肢缺血临床体会 　　[摘要] 目的 探讨重症下肢缺血患者血管腔内治疗的临床疗效。方法 研究对象选取整群该院2013年1月―2014年6月重症下肢缺血患者16例。回顾性分析16例患者（18肢）临床资料。其中10肢行球囊扩张成形术治疗，8肢在球囊扩张成形术治疗的基础上联合支架植入术治疗。 结果 经过手术治疗，该次研究中16例患者（18肢）手术成功率为83.33%（15/18），术前踝肱指数（ABI）为（0.32±0.10），?行距离为（32.65±16.38）m，术后12个月患者踝肱指数（ABI）为（0.79±0.15），?行距离为（259.36±38.58）。术后患者临床症状较术前明显改善，差异有统计学意义（P0.05）。 结论 重症下肢缺血患者接受血管腔内治疗，疗效确切，手术安全性高，创伤小，患者耐受较好，术后未见严重并发症，具有极高的临床价值，值得进行推广应用。 　　[关键词] 血管腔内治疗；重症下肢缺血；球囊扩张成形术；支架植入术 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0062-02 　　[Abstract] Objective To discuss the clinical curative effect of endovascular treatment of patients with severe lower limb ischemia. Methods 16 cases of patients with severe lower limb ischemia treated from January 2013 to June 2014 were selected as the research object and clinical materials of them （18 limbs） were retrospectively analyzed， 10 limbs were treated with balloon angioplasty， and 8 limbs were treated with balloon angioplasty combined with stent implantation. Results After treatment， the operation success rate of 16 cases （18 limbs） was 83.33%（15/18）， anterior ankle brachial index（ABI） was （0.32±0.10）， crawling distance was（32.65±16.38）m， 12 months after operation， anterior ankle brachial index（ABI） was （0.79±0.15）， crawling distance was 259.36±38.58m， clinical symptoms of patients after operation were obviously improved compared with those before operation， and the difference was statistically significant （P0.05）. Conclusion The effect of endovascular treatment for patients with severe lower limb ischemia is definite with high security， small wound and good tolerance in patients， there was no severe complications after operation and it has extremely high clinical value and is worth promoting. 　　[Key words] Endovascular treatment； Severe lower limb ischemia； Balloon angioplasty； Stent implantation 　　目前，随着医疗行业的迅猛发展，血管腔内治疗材料日新月异，为重症下肢缺血患者带来了福音[1]。重症下肢缺血作为血管外科临床诊断与治疗中的难点问题，受到了广大医疗工作者的广泛重视。重症下肢缺血患者如若未能接受及时有效的治疗干预，致残率与致死率极高[2]，对患者的身心健康造成了极大的威胁。针对这一现状，探寻切实有效的治疗干预手段对于促进患者