| 李佳,崔进国,李亮,梁志会,徐树彬.股浅动脉硬化闭塞症应用Deep球囊扩张和球囊扩张联合支架植入疗效的比较[J].中国医学影像技术,2010,26(s1):79~82 |
| 股浅动脉硬化闭塞症应用Deep球囊扩张和球囊扩张联合支架植入疗效的比较 |
| Comparable study of Deep balloon dilation and balloon dilation combined with stent placement in treatment of arterial sclerosis obstruction of superficial femoral artery |
| 投稿时间：2010-08-06 修订日期：2010-08-23 |
| DOI： |
| 中文关键词: 动脉闭塞性疾病 支架 介入治疗 踝肱指数 |
| 英文关键词:Arterial occlusive diseases Stents Interventional therapy Ankle brachial index |
| 基金项目: |
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| 摘要点击次数: 1923 |
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| 中文摘要: |
| 目的 探讨分别采用Deep球囊扩张和球囊扩张联合血管内支架植入两种方法治疗股浅动脉狭窄闭塞症的疗效。方法 38例患者按就诊顺序随机分为治疗组(19例)和对照组(19例)。治疗组患者均接受Deep球囊扩张治疗;对照组均接受球囊扩张后植入血管内支架,应用统计学方法比较两组疗效。结果 介入治疗后两组即时血管通畅率均为100％;介入治疗后30天,治疗组血管通畅率为100%,对照组为95%;介入治疗后1年,治疗组血管通畅率为85％,对照组74％。对治疗组与对照组病例的踝肱指数作两样本t检验,术后即时:P=0.504;术后30天:P=0.024;术后1年:P=0.002。结论 使用Deep球囊扩张治疗股浅动脉狭窄闭塞症30天及1年的血管通畅率高于球囊扩张联合支架植入治疗,其主要机制是Deep球囊具有顺应性好,低剖面扩张时不易造成对血管的损伤。 |
| 英文摘要: |
| To observe the clinical effect of Deep balloon angioplasty and balloon angioplasty combined with stent implantation in treatment of arterial sclerosis obstruction of superficial femoral artery. Methods Totally 38 patients with arterial sclerosis obstruction of superficial femoral artery were divided into treatment group (19 cases) and control group (19 cases). Patients in treatment group underwent Deep balloon angioplasty, and patients in control group underwent balloon dilation combined with stent placement. The clinical effect of two groups were analyzed statisticallly. Results The instant patent rates were 100% in both groups. At 1 month follow up, the patent rates were 100% in treating group and 95% in control group. At 1 year follow up, the patent rates were 85% and 74%, respectively. The ankle brachial index in two groups were analyzed with t-test, the P value at Instant, 1 month, 1 year after operation were 0.504, 0.024, 0.002 respectively. Conclusion Patent rate in treatment group at 1 month and 1 year follow up is higher than that in control group. The main mechanism is Deep balloon has better flexibility, smalle section which produce less injury on vessel. |
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