摘要
目的：评价支架植入术治疗股浅动脉闭塞3年疗效及影响疗效的相关因素。方法：回顾性分析79例长段股浅动脉闭塞症患者支架植入术后临床资料。所有患者均有不同程度的下肢缺血症状。观察指标为术后6月、1、2、3年一期开通率、二期开通率及保肢率；术后3年临床有效率。各项观察指标均根据股浅动脉（SFA）病变长度分类统计。结果：79例均成功进行了血管重建，所有患者术前Rutherford评分为3.60±0.89，术后3年评分为1.41±1.18，两者间比较P<0.05。SFA病变（5~15 cm）组术后3年一期通畅率为78%，SFA病变（>15 cm）组为10%，两者间有统计学差异。随访期内共有27例患者因支架内狭窄再次入院，症状未复发患者中，8例对血糖控制不重视，10例患者没有戒烟。结论：支架植入治疗长段股浅动脉硬化闭塞症3年有效；SFA闭塞长度（5~15 cm）与（>15 cm）一期开通率有统计学意义；血糖、吸烟对症状再次复发有统计学差异。
Abstract
Objective: To evaluate the clinical effectiveness after stenting of superficial femoral artery(SFA) obliterans in 3-year follow-up, and to evaluate the relevant factors affecting therapeutic effect. Methods: Seventy-nine patients were diagnosed as superficial femoral artery obliterans and received stent placement from January 2010 to December 2012 in the interventional department, Shengjing Hospital. The clinical data after stenting were retrospectively analyzed. All the patients suffered with different degrees of lower extremity ischemic symptoms. The criteria for observation was primary patency with limb save at 6th, 12th, 24th, and 36th months after stent placement and the restenosis rate. The multiple factor analysis of the survival and effective rate was performed. Results: All the 79 patients received balloon expanding with stent placement and postoperative angiography showed 100% technical success. All the patients received Rutherford classification with the preoperative average score of 3.60±0.89, and postoperative score of 1.41±1.18 at 36th month, there was statistical significance difference. The recurrence of ischemic symptoms was seen in 27 limbs within one month to 3 years after treatment. No recurrence, only in 8 patients who did not have good control of diabetes and 10 still continued smoking. Conclusion: Endovascular treatment with stent plantation for 79 cases of superficial femoral artery obliterans was effective and safe at postoperative within 3 years. The result of primary patency had statistical significance between the length of the occluded SFA segment(5~15 cm) and (>15 cm). Effective control of diabetes and smoking, are the main factors which affect therapeutic results.
关键词
动脉闭塞性疾病 /
股动脉 /
支架
Key words
Arterial occlusive diseases /
Femoral artery /
Stents
樊晓雪;刘兆玉.
支架植入术治疗股浅动脉闭塞3年疗效随访[J]. 中国临床医学影像杂志. 2014, 25(9): 652-656
FAN Xiao-xue;LIU Zhao-yu.
The clinical effectiveness of stent placement in the treatment of superficial femoral artery obliterans:a 3-year follow-up experience[J]. Journal of China Clinic Medical Imaging. 2014, 25(9): 652-656
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