【摘要】：目的探討介入治療下肢動脈硬化閉塞癥(ASO)的效果及影響術后復發(fā)的相關因素。方法回顧性分析2011年1月至2014年10月介入治療的137例下肢ASO患者(184條患肢)臨床資料,術后隨訪18個月,分期觀察患者術后血管通暢性及影響復發(fā)的因素。結果介入技術成功率在髂動脈、股乆動脈、膝下動脈病變分別為97.4%、92.5%、88.6%,在TASCⅡA型、B型、C型、D型病變分別為97.4%、96.1%、89.7%、87.0%。術后隨訪發(fā)現膝下動脈病變血管通暢率較髂動脈及股乆動脈病變降低(P0.05),TASCⅡC、D型病變再狹窄率高于A、B型病變(P0.05);多因素Cox回歸模型分析提示糖尿病、吸煙、高血脂是影響術后復發(fā)的獨立危險因素。結論介入治療下肢ASO安全、有效,術后再狹窄率與病變血管解剖位置及分型相關,有效控制血糖、戒煙、降脂有助于降低術后復發(fā)率。
[Abstract]:Objective to investigate the effect of interventional therapy on (ASO) of lower extremity arteriosclerosis obliterans and the related factors of postoperative recurrence. Methods the clinical data of 137 patients with lower extremity ASO (184 limbs) treated by interventional therapy from January 2011 to October 2014 were retrospectively analyzed. The patients were followed up for 18 months. Results the success rate of interventional technique in iliac artery, femoral artery and inferior genu artery was 97.4and 92.5, respectively. In TASC 鈪，

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