中国实用外科杂志

中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (10): 872-873.

• 论著 • 上一篇    下一篇

支架植入术联合取栓术治疗长段髂动脉闭塞

孙庆峰，姜维良，李宪伟，张英男，王桂梅，王海涛   

  1. 哈尔滨医科大学附属第二医院血管外科,黑龙江哈尔滨150086
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-10-01 发布日期:2008-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-10-01 Published:2008-10-01

PDF

摘要：

目的探讨支架植入术（PTA）联合取栓术治疗长段髂动脉闭塞的临床应用价值。方法回顾性分析2005年7月至2007年10月哈尔滨医科大学附属第二医院血管外科应用PTA联合取栓术治疗长段髂动脉闭塞26例病人的临床资料。结果24例病人成功行PTA联合取栓术，2例由于动脉管腔完全硬化闭塞而无法行介入手术，技术成功率为923%。有3例同时行对侧髂动脉PTA。术后病人症状均有明显改善或消失，围手术期无死亡。踝肱指数（ABI）平均增加052 。随访4～30个月，平均22个月。4例病人分别于术后25d和40d及12和21个月再次出现下肢缺血症状，给予对症治疗后症状改善。结论PTA联合取栓术治疗长段髂动脉闭塞安全、疗效肯定，但应掌握其适应证，远期疗效需进一步观察。

关键词: 支架植入术, 取栓术, 髂动脉闭塞

Abstract:

Combining stenting and thrombectomy to treat longsegment iliac artery occlusive diseaseSUN Qingfeng，JIANG Weiliang，LI Xianwei，et al.Department of Vascular Surgery，the Second Affiliated Hospital，Harbin Medical University，Harbin 150086,China Corresponding author:JIANG Weiliang,Email:wljiang6666@sohu.com AbstractObjectiveTo explore the clinical application of combining stenting and thrombectomy to treat longsegment iliac artery occlusive disease.MethodsThe clinical data of 26 patients with longsegment iliac artery occlusive disease performed by stenting and thrombectomy between July 2005 and October 2007 were analyzed retrospectively.ResultsTwentyfour patients were treated by stenting and thrombectomy successfully.Two patients failed and 3 patients were treated by stenting the opposite iliac artery simultaneously.The patients’ symptoms were relieved obviously,even disappeared.The mean ankle brachial index (ABI) increased 052.They were followedup for 4~30 months.There were 4 patients recurred in 25d,40d,12 and 21months respectively and symptoms were relieved by symptomatic treatment.ConclusionCombining stenting and thrombectomy can be a safe and effective method in treating longsegment iliac artery occlusive disease.But it will be necessary to control its indication and observe longterm therapeutic effect.

Key words: stent, thrombectomy, iliac artery occlusion