股动脉联合足背胫后动脉入路腔内治疗膝下动脉硬化性闭塞症的短期疗效分析-外科学(普外)专业论文.docxVIP

PAGE PAGE 5 Abstract： The short-term efficacy analysis of endovascular therapy of combining and femoral artery dorsalis pedis/posterior tibial artery approach to BTK atherosclerotic occlusive disease 【 Objective 】 To explore the short-term effect of endovascular therapy of combining and femoral artery dorsalis pedis/posterior tibial artery approach to BTK atherosclerotic occlusive disease. 【Method】It was a study of 77 patients who suffered from BTK atherosclerotic occlusive disease, collected from July 2011 to March 2013(Rutherford level 4 to level 6), of which 62 patients had rest pain,15 patients had ulcer.The course of the disease varied from 1 month to 5 years.Finally, 42 patients accepted the transfemoral endovascular therapy, and 35 patients accepted endovascular therapy of combining femoral artery and dorsalis pedis/posterior tibial approach. 【Result】The rest pain of the 62 patients were relieved. 15 patients who suffered from ulcer were healed by endovascular therapy for the patency of lower extremely artery and then surgical debridement for the ulcer.The ABI of endovascular therapy of combining femoral artery and dorsalis pedis/posterior tibial approach (0.98±0.22) was higher than the ABI of transfemoral endovascular therapy（0.82±0.33）(p0.05).The combining therapy did better in improving blood flow rate and claudication distance There was no differenced of the incidence of complication.(p0.05). 【Conclusion】The patients who had long occlusion prefered endovascular therapy of combining and femoral artery dorsalis pedis/posterior tibial artery approach to BTK atherosclerotic occlusive disease. 【Key words】 vascular approach ,endovascular therapy, BTK Arterial Sclerosis Occlusion，effect 前言：目前随着人口老龄化的趋势，血管技术的发展，越来越多的血管病需要 治疗，而往往患者常常合并有高血压、糖尿病、冠状动脉粥样硬化性心脏病及动 脉硬化等等，开放治疗创伤大，合并症多，因而在运用范围上受到了一定的限制， 近年来，随着血管腔内微创治疗技术的巨大进步，血管腔内治疗技术由于其恢复 快、创伤小、并发症较少，而慢慢为众多患者所接受。关于下肢动脉硬化性闭塞 症腔内治疗入路的选择也从最常用的股动脉入路[1-4]向外周血管入路发展，近年 来从桡动脉入路[5-6]、足背动脉入路[7]、肱动脉入路[8]等进行血管腔内治疗也得到 了一定的