临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (2): 56-.

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介入治疗在血栓闭塞性脉管炎中的临床疗效分析

  

  1. 聊城市人民医院 血管外科,山东 聊城 252000
  • 出版日期:2022-04-01 发布日期:2022-07-18

The clinical efficacy analysis of interventional therapy in thrombo angitis obliterans

  1. Vascular Surgery Department of Liaocheng People's Hospital, Shandong Liaocheng 252000, China
  • Online:2022-04-01 Published:2022-07-18

摘要:

目的 分析介入治疗下肢血栓闭塞性脉管炎的临床疗效。方法 选择2019 年1 月至2021 年6 月在聊城市人民医院治疗的100 例下肢血栓闭塞性脉管炎患者作为研究对象,根据治疗方式不同分为治疗组(n=50)和对照组(n=50)。对照组采用保守治疗,治疗组采用介入治疗,比较两组患者的临床疗效。结果治疗后,治疗组患者的髂外动脉血流速度、踝肱指数、经皮氧分压、足背动脉内径较治疗前显著改善(P< 0.05),且均优于对照组患者治疗后的各项指标。但对照组治疗后仅在髂外动脉血流速度、踝肱指数方面有改善(P < 0.05),经皮氧分压、足背动脉内径较治疗前无显著差异(P > 0.05)。治疗组的总有效率高于对照组,差异有显著性(P < 0.05)。结论 介入治疗应用于下肢血栓闭塞性脉管炎的临床治疗中,可以明显改善患者的病情,提高临床治疗的有效率。

关键词: 介入治疗, 下肢血栓闭塞性脉管炎, 临床疗效

Abstract:

Objective To analyze the clinical efficacy of interventional therapy in lower limb thrombo angitis obliterans. Method 100 patients of lower limb thrombo angitis obliterans were treated in the Vascular Surgery of Liaocheng People's Hospital from Jan 2019 to Jun 2021 were selected as the study subjects, they were divided into treatment group (n=50) and control group (n=50)by different treatment methods. Conservative treatment was applied for patients in the control group while interventional treatment was applied for patients in treatment group, clinical efficacy was compared between the two groups. Result After treatment, the blood flow velocity of external iliac artery, ankle brachial index, percutaneous oxygen partial pressure and the diameter of dorsalis pedis artery in the treatment group were significantly improved compared with those before treatment (P < 0.05), and were better than those in the control group. However, in the control group, only blood flow velocity of external iliac artery and ankle brachial index were improved after treatment (P < 0.05), and there was no significant difference in percutaneous oxygen partial pressure and dorsalis pedis artery diameter (P > 0.05). The total effective rate of the treatment group was significantly higher than that of the control group (P < 0.05). Conclusion In the clinical treatment of thrombo angitis obliterans, interventional treatment can significantly improve the patient's condition, improve the efficiency of clinical treatment.

Key words: Interventional treatment, Thrombo angitis obliterans, Clinical efficacy