Clinical and Anatomical Considerations for Nonoperative Therapy in Tibial Disease and the Results of Angioplasty
Clinical and Anatomical Considerations for Nonoperative Therapy in Tibial Disease and the Results of Angioplasty
复制标题
胫骨疾病非手术治疗的临床和解剖学考虑以及血管成形术的结果
作者：
D. Schwarten
在6年的时间内，96例患者接受了146次膝下血管成形术。完全闭塞31例，多发性狭窄95例。所有患者远端缺血，40%有坏疽。一期成功率为97%，2年保肢率为83%。踝/肱指数从术前的平均0.25增加到术后的0.62。2年时（35例患者），平均踝/臂指数为0.55。同期，进行了320例股远端旁路手术。血管成形术的结果与外科手术相当，但血管成形术仅适用于约20-30%的孤立性胫骨疾病患者。合适的病变是5个或更少的狭窄和长度为5 cm或更短的闭塞。（《循环》1991;83[增刊I：I-86-I-90）
For a 6-year period, 96 patients had 146 below-knee angioplasties. There were 31 total occlusions and 95 multiple stenoses. All patients had distal ischemia, and 40% had gangrene. The primary success rate was 97%, and the 2-year limb salvage rate was 83%. The ankle/ brachial index increased from a mean of 0.25 before the procedure to 0.62 afterward. At 2 years (35 patients), the mean ankle/brachial index was 0.55. For the same period, 320 femorodistal bypasses were performed. The results of angioplasty are comparable to those of surgery, but angioplasty is only suitable in about 20-30% of patients presenting with isolated tibial disease. Suitable lesions are five or fewer stenoses and occlusions 5 cm or less in length. (Circulation 1991;83[suppl I:I-86–I-90)