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目的探讨膝下动脉硬化闭塞症外科介入综合治疗的早期疗效。方法回顾分析2006年9月~2008年12月我科收治的24例26条肢体膝下动脉硬化闭塞症行球囊成形术,结合髂、股动脉支架置入和动脉取栓综合治疗的早期疗效。结果平均随访8.5个月,24例26条肢体膝下动脉硬化病变50条,球囊成形术成功疏通48条动脉。流入道病变予髂动脉支架置入4例,股动脉支架置入6例,股、腘动脉血栓取栓6例。术中并发导丝穿通血管壁2例。结论膝下动脉硬化闭塞症外科介入综合治疗的早期疗效好。
Objective To investigate the early effect of surgical interventional treatment of knee inferior arteriosclerosis obliterans. Methods A retrospective analysis was performed on the early curative effect of balloon angioplasty in 24 patients with 26 cases of lower extremity arterial occlusive disease treated in our department from September 2006 to December 2008 combined with iliac and femoral artery stenting and arterial thrombectomy. Results The patients were followed up for an average of 8.5 months. Twenty-five patients (26 knees) underwent atherosclerotic lesions in 24 cases. Balloon successfully dredged 48 arteries. Inflow of pathological changes to iliac artery stent placement in 4 cases, femoral artery stent placement in 6 cases, shares, popliteal artery thrombectomy in 6 cases. Intraoperative concurrent guide wire penetrate the vascular wall in 2 cases. Conclusion The surgical treatment of knee arteriosclerosis obliterans early comprehensive treatment of good early effect.