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介入联合溶栓治疗主髂动脉闭塞病变疗效优于外科手术

2018-05-04 卢芳 中国循环杂志

联合溶栓主髂动脉闭塞外科手术
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主髂动脉狭窄或闭塞，这种常见的血管退行性病变，好发于中老年人，可引起下肢缺血甚至下肢缺血坏死。对于这种疾病，传统外科手术治疗好还是经皮血管腔内支架成形术（PTA）联合溶栓治疗效果佳？


主髂动脉狭窄或闭塞，这种常见的血管退行性病变，好发于中老年人，可引起下肢缺血甚至下肢缺血坏死。对于这种疾病，传统外科手术治疗好还是经皮血管腔内支架成形术（PTA）联合溶栓治疗效果佳？
 
河南省平煤神马医疗集团总医院牛国浩等研究表明，与传统外科手术比较，PTA 联合溶栓治疗ASOD 具有良好的近远期疗效，且可有效减少患者手术创伤及并发症。
 
研究显示，PTA 联合溶栓治疗的患者手术时间、术中出血量、下床时间、住院时间、并发症发生率明显低于传统外科手术治疗患者。
 
传统外科手术治疗和PTA 联合溶栓治疗后，两组患者踝肱指数、步行距离明显高于术前；而且PTA 联合溶栓治疗明显优于传统外科手术治疗。
 
在1、2、3 年累积通畅率、保肢率方面，传统外科手术治疗和PTA 联合溶栓治疗也基本相近。
 
研究者认为，PTA 联合溶栓治疗主髂动脉狭窄或闭塞值得推广。
 
该研究共纳入100 例主髂动脉狭窄或闭塞患者，各有50例接受传统外科手术治疗和PTA联合溶栓治疗。

原始出处：

牛国浩, 钱俊甫, 李书旺，等. 经皮血管腔内支架成形术联合溶栓治疗对主髂动脉狭窄或闭塞患者踝肱指数的影响. 中国循环杂志, 2018, 33: 351-354.
 

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    2018-12-07 ms7019579240139182

    #动脉闭塞#

    0

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    2018-05-06 ms7524819409032184

    #外科手术#

    0

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    2018-05-06 lqvr

    #溶栓治疗#

    0

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    2018-05-06 zhlpower

    #闭塞病变#

    0

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    2018-05-04 内科新手

    谢谢梅斯提供这么好的信息，学到很多

    0

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    2018-05-04 131****1460

    学习了受益匪浅

    0