摘要
目的分析腔内血管成形术治疗老年下肢动脉硬化闭塞症的临床疗效及安全性。方法选择该院2015年6月—2018年6月收治80例老年人下肢动脉硬化闭塞症患者,按随机数表分为两组,对照组40例使用下肢动脉旁路移植术治疗,研究组40例使用腔内血管成形术,对两组患者临床疗效及安全性进行比较。结果研究组血流峰速(40.43±3.07)cm/s低于对照组,与对照组相比,研究组血流量(0.70±0.13)mm^2较高(t=9.638 3、3.681 4,P<0.05);研究组随访ABI指标比对照组高(t=4.617 9、4.248 5、3.629 8,P<0.05);研究组患者不良反应发生率为2.50%,明显比对照组低(χ^2=4.507 0,P<0.05)。结论腔内血管成形术治疗老年下肢动脉硬化闭塞症治疗效果显著,手术安全性高,临床上值得推广使用。
Objective To analyze the clinical efficacy and safety of endovascular angioplasty in the treatment of senile lower extremity arteriosclerosis obliterans. Methods Eighty elderly patients with lower extremity arteriosclerosis obliterans were enrolled in this hospital from June 2015 to June 2018. They were divided into two groups according to the random number table, and 40 patients in the control group were treated with lower extremity arterial bypass grafting. 40 patients underwent endovascular angioplasty, and the clinical efficacy and safety of the two groups were compared. Results The peak velocity of blood flow in the study group was (40.43±3.07)cm/s lower than that of the control group. Compared with the control group, the blood flow of the study group was higher (0.70±0.13)mm2(t=9.638 3、3.681 4,P< 0.05). The ABI index of the study group was higher than that of the control group (t=4.617 9、4.248 5、3.629 8,P<0.05). The incidence of adverse reactions in the study group was 2.50%, which was significantly lower than that of the control group (χ^2 =4.507 0,P<0.05). Conclusion Endovascular angioplasty is effective in the treatment of senile lower extremity arteriosclerosis obliterans. It has high surgical safety and is worthy of popularization in clinical practice.
作者
孙伟
王林
SUN Wei;WANG Lin(Department of Cardiothoracic Surgery, People's Hospital of Fangzi District, Weifang, Shandong Province, 261200 China)
出处
《系统医学》
2019年第16期84-86,共3页
Systems Medicine
关键词
下肢动脉旁路移植术
腔内血管成形术
下肢动脉硬化闭塞症
老年
临床疗效
安全性
Lower extremity arterial bypass grafting
Endovascular angioplasty
Lower extremity arteriosclerosis obliterans
Elderly
Clinical efficacy
Safety
