[1]梁刚柱,张福先,魏海亮,等.下肢股腘动脉慢性完全闭塞病变分布及影响因素分析[J].介入放射学杂志,2015,(12):1052-1055.
 LIANG Gang- zhu,ZHANG Fu- xian,WEI Hai- liang,et al.The distribution and related risk factors of femoro- popliteal artery chronic total occlusion lesions[J].journal interventional radiology,2015,(12):1052-1055.
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下肢股腘动脉慢性完全闭塞病变分布及影响因素分析 ()

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

卷:
期数:
2015年12期
页码:
1052-1055
栏目:
血管介入
出版日期:
2015-12-25

文章信息/Info

Title:
The distribution and related risk factors of femoro- popliteal artery chronic total occlusion lesions
作者:
梁刚柱 张福先 魏海亮 段永利 赵 辉 张明逸 成 龙
Author(s):
LIANG Gang- zhu ZHANG Fu- xian WEI Hai- liang DUAN Yong- li ZHAO Hui ZHANG Ming- yi CHENG Long
Department of Vascular Surgery, Affiliated Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
关键词:
【关键词】 股腘动脉 外周动脉 慢性完全闭塞 动脉硬化 血液循环力学
文献标志码:
A
摘要:
【摘要】 目的 探讨下肢股腘动脉慢性完全闭塞(CTO)病变分布特征,分析不同致病危险因素对病变分布的影响。方法 选择2013年1月至2015年5月首都医科大学附属北京世纪坛医院收治的经CTA、DSA检查证实的47例下肢股腘动脉CTO患者,将股动脉均分为3段(F1~F3),将腘动脉按骨性解剖标志分为3段(P1~P3),基于股腘动脉CTA断层扫描、三维重建及DSA图像获取下肢股腘动脉CTO病变解剖分布情况。采集影响病变分布的不同因素,并作多因素Logistic回归分析。结果 共有47例患者59条下肢股腘动脉CTO病变纳入研究。病变段平均长度为(12.91±10.13) cm。根据股腘动脉6段分法,病变累及F1段23肢,F2段34肢,F3段48肢,P1段18肢,P2段6肢,P3段5肢。多因素Logistic回归分析发现,高血压(RR=3.21)、吸烟史(RR=1.76)患者CTO病变最易累及F1段,男性(RR=1.98)患者CTO病变更易发生在P1段,而糖尿病患者病变分布RR值自血管近端至远端逐渐变大,说明病变更易累及远端血管。结论 下肢股腘动脉CTO病变分布具有特征性,与下肢股腘动脉血流动力学及动脉硬化危险因素密切相关。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-06-24)
(本文编辑:边 佶)
更新日期/Last Update: 2015-12-24