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1、•论著・膝下动脉支架成形术治疗严重下肢缺血谷涌泉郭连瑞齐丈行李学锋佟铸崔世军吴英锋郭建明张建汪忠镐【摘要】目的探讨膝下动脉支架成形术治疗严虫下肢缺血的安全性和有效性C方法何顾性分析13例严帝下肢峽血患者的临床资料。％10例，女3例.平均年龄（73±7）岁，平均病程（8±4）个月。下肢间歇性跛行5例,静息痛4例•足趾溃疡2例，坏疽2例。5例支架放于胫排干动脉,3例尸腓动脉近段.2例于胫腓干动脉和近段腓动脉,2例于胫前动脉,1例廉后动脉。2例为单纯小腿动脉支架成形•余11例患布均同时采用介入技术处理了股动脉和（或）胭动脉病变。结果所有患朴手术均获得成
2、功。出院时所有愿着再通血件保持通畅。跛行距离均增至500米以上,4例静息痛全部缓解,2例足趾溃疡而积均有所轴小,2例坏疽保持干燥出院•术后辣肚指数（AB1）均有增加。所厲患者樹到随访•平均随访时fn］（6.9±2.2）个月。1例下肢坏紈总者的症状6个月后規发（梵胫的动脉支架仍然保持通畅）而截肢，坏疽的另外1例患者的第2趾脱落•创面血合。2例溃杨血愈合•静息痛无复发©结论膝下动脉支架成形术是治疗严亚下肢缺血的安全有效方法。【关St词】动脉闭塞性挨病；血管成形术；支架；下肢；做血Belowkneearterialstenlangioplastyfor
3、thetreatmentofcriticallimbischemiaCUYong-^uan,CUOlian-rui.QILi-xingtUXue-Jen^tTONGZhu,GUIShi-jun,WUYingjeng,CUOJian-mingtZHANGJian,WANGZhong-gao.DtpanmetilofVascularSurgery,XuanwuHospital,CapitalMedical(Jnii^rsity,Beijing100053,ChinaCorreapondrn^author；Gl«Yong-quan,E-mail：gu-
4、yq@2€3.net[Abstract]ObjectiveToexplorethesafetyand(ea»ibilhyofcalfartenulstentangioplastytotreatseverelowerlimbischemia.MethodsClinicaldataof13patientsinourhospitalduringrecent3yearswererrtnxspectiveiyanalysedandailthesepatientswerefollowedupafterdischarge・Ofthesepatientsther
5、ewere10malesand3females；meanagewas(73±7)yeans;meandiseasecoursewas(8士4)months-Severeclaudicationwasreportedin5patientstrestpainin4patients,toeulcerin2patients,gangrenein2patients.Stentwasplacedinthetibiopcroncaltrunkarteryin5patients;intheproximalpartofperonealarteryin3patien
6、ts；inthelibioperonealtrunkandproximalperonealarteryin2palienU;intheanteriortibialarteryin2pitients;intheposteriortibialarteryinonepatient.Simultaneounendovasculartrealnicnloffemoral/poplitealarterialdi»ea»ewasdonein11paUmts.ResultsAlltl>eproceduresweresuccessfulandthetreateda
7、rterieu.keptpatentondischargeofpatienlB,Claudicationdistanceincreasedtobeabove500meterin5palicnU；restpainrelievedin4patients；loesulcerreducedin2patients,feetgangrenekeptdrytilldischargein2p«tienU.PostoperativeABTincreasedinallpatients・Patientswerefollowed-upofmean(6.9±2,2)mon
8、ths.Onepatientwithprevioustoegangrmcunderwentamputationduetorecurren
