Angioplasty For Lower Extremity Artery Correlation Study Of Restenosis And TCM Constitution

BackgroundAlong with the development of modern medicine and update of kinds of new technology and new material, the focus of therapy for lower limb arteriosclerosis block disease has from the open surgery to cavity treatment. We explore the effect of treatment, analysis the factors of resetenosis and identify the correlation of resetenosis and TCM Constitution through the postoperative follow-up of patients by using lower extremity artery angioplasty in June,2007-March,2011.PurposeAnglysis the curative effect of angioplasty for lower extremity artery.Investigate the rate, the factors and TCM Constitution of restenosis for providing a theoretical basis to prevent and treat the restenosis with the traditional Chinese medicine.MethodsSelect105cases from endocrinology, vascular surgery of The Second Affiliated Hospital of Guang Dong University of Chinese Medicine (Guang Dong Province Traditional Chinese Medical Hosputal);63males,42femals;aged29to90, mean age71.3; in78cases with hypertension, coronary heart disease in63cases,75cases of hyperlipemia, cerebral infarction in32cases. All patients of the173limbs were treated by color Doppler ultrasound, lower extremity arterial unenhanced CT+enhanced+3D reconstruction or (and) angiography confirmed the presence of lower extremity arterial disease, which mainly to iliac artery in32cases,53cases of femoral popliteal artery, inferior genicular artery88cases. Angiographic findings of unilateral limb arterial lesions in37cases, bilateral lower extremity arterial lesions in68cases; simple vascular stenosis in49cases, long segment completely occlusive vasculopathy (length>6cm) in90cases, short segment occlusion (length <6cm) in34cases. The clinical symptoms were observed before and after treatment of lower extremity (intermittent claudication, rest pain, ischemia occurring ulcers), limb wound, limb peripheral blood circulation and flow chart, walking speed change. Postoperative observation operation success rate, follow-up observed during restenosis rates, rates of amputation, TCM Constitution TypesResultsThe success rate of Interventional operation is95.38%(165/173). Three monthes, six monthes, nine monthes, one year of restenosis rates were7.27%(12/165),20%(33/165),27.27%(45/165),41.82%(69/165). Traditional Chinese medicine constitution identification:Xueyu35.38%(23/65), Tanshi29.23%(19/65), Shire18.46%(12/65), Yangxu16.92%(11/65), and follow-up of patients without the remaining5constitution type in the65cases of restenosis of69blood vessels after one year.ConclusionsLower extremity arterial angioplasty in the treatment of lower limb arterial occlusive disease has the good clinical efficacy, and it is a kind of effective means, which improves lower limb ischemia caused by symptoms, reduces the amputation rate, and does not be found serious toxic reactions, complications, clinical application value; postoperative follow-up revealed that raditionalChinese medicine constitution identification:Xueyu, Tanshi, Shire, Yangxu are the most common, the four constitution types of patients should provide more active, more targeted Chinese medicine promoting physical and prevention restenosis.