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目的探讨股腘动脉长段闭塞介入治疗的难点及处理技巧。方法选取2016年1月20日至2016年7月20日河北医科大学第二医院血管外科收治的股腘动脉长段闭塞患者45例,根据泛大西洋协作组(trans-Atlantic inter-society consensus,TASC)分级标准进行分级。所有患者均接受腔内治疗,分别监测患者术前、术后踝肱指数(ankle brachial index,ABI),并根据Rutherford分级标准进行治疗前后的分级。结果 45例患者中,1例患者未能开通,2例患者斑块脱落堵塞远端血管,3例患者球囊扩张后出现夹层。42例患者Rutherford分级及主观症状较术前明显好转,ABI较术前升高(P<0.05)。结论腔内介入治疗股腘动脉长段闭塞安全、有效。
Objective To investigate the difficulties and treatment techniques of interventional treatment of long-segment occlusion of the femoral artery. Methods Forty-five patients with long-stranded femoral artery occlusion admitted to Department of Vascular Surgery, the Second Hospital of Hebei Medical University from January 20, 2016 to July 20, 2016 were enrolled. According to the trans-Atlantic inter-society consensus (TASC ) Grading standards for grading. All patients underwent endovascular treatment. The ankle brachial index (ABI) was monitored before and after the operation, and the grade before and after treatment was evaluated according to the Rutherford grading standard. Results Of the 45 patients, 1 patient failed to open, 2 patients had plaque detachment, and 3 patients showed dissection after balloon dilatation. The Rutherford grade and subjective symptoms in 42 patients were significantly improved compared with that before operation, and the ABI was higher than that before operation (P <0.05). Conclusion Endovascular interventional treatment of long-term occlusion of the popliteal artery is safe and effective.