| Objective : In our country and abroad,the present for femoropopliteal arterial occlusive disease whether to put in stent there are still controversial in a period of time.Therefore,this study is a retrospective analysis of our hospital patients with femoral popliteal artery occlusive disease underwent angioplasty or stent implantation after treatment effect.And whether it meets the clinical research in domestic and abroad existing at the same time,in-depth comparison of two treatment methods for femoral popliteal artery,the Types of B or C,to further clarify the types of treatment options。Methods:Retrospective analysis of vascular surgery,First Affiliated Hospital of Guangxi Medical University were treated with 2010.09-2016.09 femoral popliteal artery occlusive disease underwent angioplasty or stent implantation in patients with a total of 72 cases(77 limbs),male 62 cases,female 10 cases,aged42-101 years,mean age 69.88±11.23 years.According to the method of treatment,the patients were divided into simple balloon dilatation group(40 cases,42 limbs),balloon dilatation and stent implantation group(a total of 32 cases,35 limbs).The patients with iliac artery and inferior genicularartery disease were treated with endovascular therapy.And the TASCIIB/C and D type were compared again,The patients were followed up before and after the operation of ABI,postoperative average of 22.4±15.7 months(6-36 months)of clinical symptoms,cumulative patency rate,limb salvage rate,amputation rate and were statistically analysised to compare the efficacy of them.According to the comparison of different treatment methods,we should further define the appropriate endovascular treatment for different types.Results:72 cases(a total of 77 cases),the successful opening of the lesions of the limbs of the 74,the technical success rate of 96.1%(74/77).The perioperative mortality rate was 4.2%(3/72).The main complication rate was6.9%(5/72).And the ankle brachial index showed significant improvement in the short term,two groups of patients with symptoms of limb ulcer healing after surgery,before and after the treatment group the difference was statistically significant(P<0.05),there was no significant difference between the two groups(P>0.05).After Endovascular treatment for 6 months,12 months,24 months,36 months,the cumulative patency rate of PTA group and PTAS group were 71.1%、81.3%,64.5%、63.0%,54.5%、57.9%,53.8%、61.5%,Limb salvage rates were:92.1%、96.9%,96.7%、89.3%,94.1%、93.3%,92.9%、100%.The survival rates were: 90%、87.5%,84.6%、81.3%,81.3%、77.9%,81.3%、71.4%.There was no significant difference in patency,limb salvage rate and survival rate between the two groups(P>0.05).However,follow up of B and C showed that the patency rate of B group was 77.1% and 65.2% in the follow-up period,respectively,and the rate of limb salvage was: 93.8%,88.9%.The patency rate of type two C group was 46.3% and 66.7% respectively,and the limb salvage rate was: 86.7%,94.9%.There was no significant difference in limb salvage rate between B and C(P>0.05).There was no significant difference between the twotypes of patency rate of type B.C type patency rate was statistically significant(P<0.05).Conclusion: The results of the study showed that simple balloon dilatation and balloon dilatation with stent implantation in the treatment of femoral popliteal artery occlusive in mid term curative effect is similar,the difference was not statistically significant,but the femoropopliteal lesions type further statistical analysis,A、B type lesions can be simple balloon dilatation,C、D type lesions the choice and expanding stent treatment.However,due to the small sample size,the long-term efficacy and the clinical data of the type of treatment choice,we need to increase the sample size and extend the follow-up time for further study. |
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