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目的 评价应用血管内支架治疗血管性疾病的临床价值。方法 对36例患有血管性疾病的患者施行了血管内支架植入术,包括胸主动脉夹层动脉瘤24例,腹主动脉真性动脉瘤 3 例,腹主动脉夹层动脉瘤 1 例,颈动脉动静脉瘘 1例,左锁骨下动脉狭窄1例,左锁骨下动静脉瘘1例,髂动脉假性动脉瘤4例及股动脉狭窄 1 例。除 1 例左锁骨下动脉狭窄患者、1例股动脉狭窄患者使用了裸支架外,其余34例患者均采用带膜支架进行血管内治疗。结果 术中所有患者均未出现特殊不适,术后随访期间未见明显合并症发生。所有患者均完全消除了临床症状。结论 应用血管内支架治疗血管性疾病是一种实用且效果较好的治疗方法。
Objective To evaluate the clinical value of endovascular stenting in the treatment of vascular diseases. Methods Thirty-six patients with vascular diseases were treated with endovascular stenting, including 24 cases of thoracic aortic dissection aneurysm, 3 cases of abdominal aortic aneurysm, 1 case of abdominal aortic dissection aneurysm, 1 case of arteriovenous fistula, 1 case of left subclavian artery stenosis, 1 case of left subclavian arteriovenous fistula, 4 cases of iliac artery pseudoaneurysm and 1 case of femoral artery stenosis. Except for 1 patient with left subclavian artery stenosis, 1 patient with femoral artery stenosis was treated with bare stent, and the other 34 patients were treated with stenting with stent. Results All patients did not have any special discomfort during operation. No obvious complications occurred during follow-up. All patients completely eliminated the clinical symptoms. Conclusion The application of endovascular stent in the treatment of vascular disease is a practical and effective treatment.