Observation on the effect of iliac artery to deep femoral artery angioplasty on patients with lower limb arteriosclerosis obliterans

Abstract

Objective To explore the effect of iliac artery to deep femoral artery angioplasty on the improvement of postoperative lower limb ischemic symptoms and recovery in patients with lower limb arteriosclerosis obliterans(LEASO). Methods One hundred and four LEASO patients in Dongzhimen Hospital of Beijing University of Chinese Medicine from December 2013 to July 2016 were involved in the study and they were divided into control group and observation group according to the treatment program, each group 52 cases.The control group was treated with conservative treatment, and the observation group was treated with iliac artery to deep femoral artery angioplasty.After treatment, the limb ischemic injury degree Rutherford classification and clinical efficacy of the two groups were compared, all patients were followed up for 6 months to compare the survival quality score before and 6-month after treatment. Results (1) Rutherford classification: after treatment, Rutherford classification in the observation group was significantly higher than that of the control group, the result was statistically significant (Z=2.160, P=0.031); (2) Clinical efficacy: the total effective rate in the observation group (94.23% (49/52)) was higher than that of the control group (76.92% (40/52)), the difference was statistically significant (χ2=6.310, P=0.012); (3) Life quality: before treatment, there was no significant difference between the two groups in terms of the quality of life score ( (55.01±6.32) points vs.(54.89±6.14) points, t=0.098, P=0.922), but 6 months after treatment, the score of the observation group became higher than that of the control group ( (69.63±7.51) points vs.(63.15±6.98) points, t=4.558, P=0.000). Conclusion The treatment of LEASO using iliac artery to deep femoral artery angioplasty can effectively improve patient's lower limb ischemic symptoms and life quality. Key words: Lower limb arteriosclerosis obliterans; Lliac artery to deep femoral artery angioplasty; Lower limb ischemic symptoms