摘要
目的:探讨经皮腔内血管成形术(PTA)联合血管内支架治疗下肢动脉硬化闭塞症的临床效果。方法:2017年1月至12月,接受治疗的78例下肢动脉硬化闭塞症患者,遵循随机原则分为两组。对照组39例,行常规对症治疗。在此基础上,观察组39例给予PTA联合血管内支架治疗。观察两组治疗终点不良事件发生率及踝肱指数。结果:观察组终点不良事件发生率10.26%,低于对照组30.77%,差异有统计学意义(P<0.05)。观察组治疗后1,3和6个月后,踝肱指数高于治疗前,且高于对照组(P<0.05)。结论:PTA联合血管内支架治疗下肢动脉硬化闭塞症可有效改善患者下肢踝肱指数及血供,降低终点不良事件发生率。
Objective: To investigate the clinical effect of percutaneous transluminal angioplasty(PTA)combined with endovascular stent in the treatment of lower extremity arteriosclerosis obliterans. Methods: From January to December 2017, 78 patients with lower extremity arteriosclerosis obliterans were randomly divided into two groups. 39 cases in the control group were treated with routine symptomatic treatment. On this basis, 39 cases in the observation group were treated with PTA and stent. The incidence of adverse events and ankle brachial index were observed. Results: The incidence of end-point adverse events in the observation group was 10.26%, lower than 30.77% in the control group, the difference was statistically significant(P<0.05). After 1, 3 and 6 months of treatment, the ankle brachial index in the observation group was higher than that before treatment, and higher than that in the control group(P<0.05). Conclusion: PTA combined with endovascular stent can effectively improve ankle brachial index and blood supply of lower extremity in patients with arteriosclerosis obliterans, and reduce the incidence of end-point adverse events.
作者
焦小平
JIAO Xiaoping(The people’s Hospital of Zhengzhou,Zhengzhou 450003,China)
出处
《华夏医学》
CAS
2019年第6期124-126,共3页
Acta Medicinae Sinica
