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目的探讨膝下血管微球囊扩张成形术在下肢动脉闭塞性疾病治疗中的应用价值。方法选择以膝下动脉闭塞为主的下肢动脉闭塞性疾病患者32例,共38条肢体,均采用单纯球囊扩张成形术治疗闭塞或严重狭窄病变。结果 38条肢体中技术成功36条(94.73%)。主要并发症有动脉穿孔(1例)、痉挛(1例)及穿刺点血肿(1例)。随访6个月,临床成功率92.11%(35/38)。11例坏疽患者中,1例膝上截肢,救肢率90.91%(10/11)。结论血管微球囊扩张成形术为治疗膝下动脉硬化闭塞症的安全有效的治疗方法,近期疗效满意。
Objective To investigate the value of microsurgery under the knee for the treatment of arterial occlusive disease of the lower extremities. Methods 32 patients with lower extremity arterial occlusive disease, mainly 38 patients with lower extremity arterial occlusive disease were treated with simple balloon dilatation and angioplasty for occlusion or severe stenosis. Results The technical success of 38 limbs 36 (94.73%). The main complications were arterial perforation (1 case), spasm (1 case) and puncture point hematoma (1 case). Followed up for 6 months, the clinical success rate was 92.11% (35/38). Of the 11 patients with gangrene, one had amputation of the knee, with an amputation rate of 90.91% (10/11). Conclusion Vascular micro-balloon dilatation and angioplasty is a safe and effective treatment for atherosclerotic occlusive disease of the knee. Recent curative effect is satisfactory.