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%,Fontaine II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% respectively.Twenty-two cases are suffered from diabetes,whose rate of technical success is 68.2%,which is obviously lower than that of the group without diabetes（85.2%）.Conclusion： Endovascular operation is a minimally invasive and effective treatment for ASO,not only for early,but also for advanced cases.