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目的探讨股浅动脉腔内自膨式支架植入治疗下肢动脉硬化闭塞症的疗效。方法2005年9月～2007年6月,为34名患者股浅动脉血管内植入了45个自膨式支架,塑形,术后常规支架处理。结果术后造影显示所有病变段均开通,支架形态良好,病人间歇性跛行、静息痛及足部溃疡等症状均消失,围手术期死亡率为0,踝/肱指数(ABI)由术前0.23～0.74提高至0.56～1.02,ABI升高幅度为0.17～0.52,平均升高0.34,随访3个月～24个月,平均9.6个月,支架内血管闭塞6例(6/34),1例截肢,5例保守治疗后好转,总通畅率为82.4%。结论自膨式支架对治疗股浅动脉硬化闭塞症有较满意的近期疗效,远期疗效有待观察。
Objective To investigate the effect of transluminal superficial femoral artery stent implantation in the treatment of lower extremity arterial occlusive disease. Methods From September 2005 to June 2007, 34 patients with superficial femoral artery were implanted with 45 self-expanding stents. The stents were shaped and treated with conventional stents. Results Postoperative angiography showed that all the lesions were open and the stent was in a good shape. The symptoms such as intermittent claudication, rest pain and foot ulcer disappeared, and the perioperative mortality rate was 0. The ankle / brachial index (ABI) 0.23 ~ 0.74 increased to 0.56 ~ 1.02, ABI increased 0.17 ~ 0.52, an average increase of 0.34, followed up for 3 months to 24 months, an average of 9.6 months, stent occlusion in 6 cases (6/34), 1 Cases of amputation, 5 cases of conservative treatment improved, the total patency rate was 82.4%. Conclusion Self-expanding stents have more satisfactory short-term curative effect in the treatment of superficial arteriosclerosis obliterans. Long-term curative effect remains to be seen.