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研究-外科学(普外)专业论文.docxVIP

PAGE PAGE 2 目录 一、摘要 中文结构式摘要……………………………………………………………4 英文结构式摘要……………………………………………………………5 二：论文 前言…………………………………………………………………………6 资料…………………………………………………………………………7 方法…………………………………………………………………………8 结果…………………………………………………………………………9 讨论……………………………………………………………… …………10 结论…………………………………………………………………………17 三：参考文献……………………………………………………………………18 四：致谢…………………………………………………………………………21 五：综述…………………………………………………………………………22 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 中文结构摘要： 目的：探讨股动脉联合足背/胫后动脉入路腔内治疗膝下动脉硬化 性闭塞症的疗效。 1.方法：自 2011 年 7 月-2013 年 3 月共收治膝下动脉粥样硬化性闭 塞症患者 77 例（卢瑟福分级 4 级-6 级），其中 62 例患者存在静息痛， 15 例患者存在溃疡，病程 1 个月-5 年。其中 42 例采用传统股动脉入 路，35 例患者采用股动脉联合足背动脉/胫后动脉入路。 2.结果：62 例患者静息痛缓解，15 例患者溃疡首先通过开通下肢动 脉后再通过外科清创均已治愈。股动脉入路联合足背/胫后动脉入路 术后 ABI(0.98±0.22)较单纯经股动脉入路（0.82±0.33）有提高 （P0.05）.下肢血流通畅率、跛行距离，股动脉联合足背动脉/胫后 动脉入路优于单纯股动脉入路（p0.05）。两组间并发症无明显差异。 3.结论：在膝下动脉长段闭塞的患者中，股动脉联合足背动脉/胫后 动脉入路短期术后效果优于单纯股动脉入路。 关键词： 血管入路 腔内治疗 下肢动脉硬化性闭塞症 疗效 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