腔内治疗下肢动脉硬化闭塞症的临床研究

目的:下肢动脉硬化闭塞症(arteriosclerosis obliterans,ASO)是血管外科常见疾病,我们拟讨论腔内成形术在ASO治疗中的应用.方法:回顾2008年5月至2010年4月我科收治的76例ASO病例,对手术成功率、手术效果和糖尿病等合并症对疗效的影响进行分析.结果:总体技术成功61例,技术成功率80.3%,FontaineⅡ期组技术成功36例(成功率92.3%),明显高于Ⅲ期(82.1%)和Ⅳ期组(22.2%);合并糖尿病组22例(28.9%),技术成功15例(成功率68.2%),低于无糖尿病组的85.2%;结论:腔内成形术是治疗ASO的有效微创手术方法,积极腔内手术干预有助提高早期患者成功率,同时对晚期患者可有效改善症状.

Clinical Study of Endo-luminal Therapy of Arterial Sclerosis Obliterans

Objective: The incidence of ASO(arteriosclerosis obliterans) is raising rapidly in China.We intend to discuss the outcome of endovascular treatment for ASO.Methods: 76 cases of ASO were admitted in our hospital from May,2008 to April,2010,while the efficacy of endovascular treatment was accessed.Also,the effect of diabetes for the outcome of ASO was discussed.Results: The rate of technical success is 80.3% for totally 76 cases,while the rates for the cases of Fontaine II,III,IV are 92.3%,82.1% and 22.2% res...