[1]陈国平,顾建平,楼文胜,等.股深动脉血流重建改善下肢缺血的临床应用[J].介入放射学杂志,2011,(10):782.
 CHEN Guo-ping,GU Jian-ping,LOU Wen-sheng,et al.The clinical application of reconstitution of deep femoral arterial blood flow in improving the ischemic symptoms of lower extremities[J].journal interventional radiology,2011,(10):782.
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股深动脉血流重建改善下肢缺血的临床应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年10期
页码:
782
栏目:
血管介入
出版日期:
2011-10-25

文章信息/Info

Title:
The clinical application of reconstitution of deep femoral arterial blood flow in improving the ischemic symptoms of lower extremities
作者:
陈国平 顾建平 楼文胜 何 旭 陈 亮 苏浩波 宋进华 汪 涛 徐 克
210006 南京医科大学附属南京第一医院介入科;中国医科大学附属第一医院放射科
Author(s):
CHEN Guo-ping GU Jian-ping LOU Wen-sheng HE Xu CHEN Liang SU Hao-bo SONG Jin-hua WANG Tao XU Ke.

Department of Interventional Radiology, Affiliated Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China

关键词:
下肢动脉硬化闭塞症 股深动脉 介入治疗
分类号:
R543.5
文献标志码:
A
摘要:
目的 探讨股深动脉血流重建改善下肢缺血的临床应用。方法 回顾性分析11例下肢动脉硬化闭塞症患者,在股浅动脉无法开通情况下,将股深动脉作为流出道或流入道施行血管腔内血流重建术的疗效。6例患者股深动脉作为流出道通畅,而髂动脉和股总动脉重度狭窄或闭塞,对其进行了经皮血管腔内成形术PTA和(或)支架植入;4例患者股深动脉开口处狭窄,作为膝关节周围动脉网的流入道,对其行PTA;1例患者髂动脉和股总动脉及股深动脉均进行了PTA。结果 5例患者术后患肢疼痛逐渐消失,皮温明显升高,其中2例足趾溃疡渗液分别于术后3 d和10 d周时转为干性,术后3个月随访时溃疡完全愈合。3例表现为术前疼痛影响睡眠,一般止痛剂难以缓解,术后疼痛偶有出现但能耐受,不需或偶用一般止痛剂即可缓解。1例足趾坏疽术后2个月时自动脱落,未经外科干预。2例因下肢缺血严重,肢体坏死行外科膝上截肢术,创面1个月愈合。6个月时2例失访,随访期间5例有间歇性跛行。术后踝肱指数(ABI)(0.71 ± 0.21)与治疗前(0.32 ± 0.19)比较差异有统计学意义(P < 0.05)。结论 当髂股动脉或股浅动脉广泛闭塞时,股深动脉作为流出道或流入道是可供重建患肢血液循环的通道,股深动脉血流重建能有效改善下肢缺血症状。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:20110722
国家科技部“十一五”科技支撑计划资助项目(2007BAIO5B04)
更新日期/Last Update: 2011-10-25