1.Curative effect of interventional therapy for arteriosclerosis obliterans of lower extremity and analysis of recurrence factors
Wendao LIU ; Liuqian FENG ; Fanzhe MENG ; Gang CHANG
Journal of Interventional Radiology 2017;26(6):514-517
Objective To evaluate the curative effect of interventional therapy in treating arteriosclerosis obliterans (ASO),and to discuss the related factors that may affect the postoperative recurrence.Methods The clinical data of 137 patients with lower extremity ASO (184 affected limbs in total),who were treated with interventional management during the period from January 2011 to October 2014,were retrospectively analyzed.After the treatment,the patients were followed up for 18 months.The arterial patency was checked up periodically,and the related factors that might induce recurrence were analyzed.Results The technical success rates for diseased iliac artery,femoral popliteal artery and infrapopliteal artery were 97.4%,92.5% and 88.6% respectively,while the technical success rates for TASC Ⅱ A,B,C and D type lesions were 97.4%,96.1%,89.7% and 87.0% respectively.Follow-up check-ups showed that the arterial patency rate of infrapopliteal artery was lower than that of iliac femoral artery and popliteal artery (P<0.05),the restenosis rate of TASC Ⅱ C and D type lesions was higher than that of TASC Ⅱ A and B type lesions (P<0.05).Multivariate Cox regression analysis indicated that diabetes mellitus,smoking and hyperlipidemia were the independent risk factors that could affect postoperative recurrence.Conclusion For the treatment of lower extremity ASO,interventional therapy is safe and effective.The postoperative restenosis rate is related to the location and type of the diseased arteries.Effective control of blood sugar level,smoking cessation and lipid-lowering measures can help reducc thc incidence of postoperative recurrence.
2.Research of magnetism light compound therapy in clinical application.
Zhaohong LIU ; Chongxing SUN ; Wendao ZHANG ; Jiarong MAO ; Yali YAN ; Cuifang FU
Journal of Biomedical Engineering 2003;20(2):305-307
This study is aimed to evaluate the clinical application of the millimeter wave and magnetism light compound therapy. The EHF-98B MMW. RL compound therapy apparatus made in the University of Electronic Technology(Chengdu) was used in 171 patients. The superficial, skin lesions or the visceral reflected skin regions (acupoints) were directly exposed to the light from the apparatus. All the cases were divided into five groups, namely skin mucosa superficial lesions, trauma of the bone and joint soft tissue, surgical incision, ENT infections, and rare intricate diseases. The therapeutic effects observed in the groups were analyzed and evaluated by means of 4 levels. As for the 171 patients, the cure rate was 42.7% (73 patients), the effective rate 25.1%(43 patients), the improvement rate 31%(53 patients), and no effect constituted 1.2%(2 patients). The total effective rate was 98.8%. This therapy was especially effective for treating chronic cervicitis, cervical erosion, soft tissue trauma, surgical incision. Also it was effective for treating some rare intricate diseases, e.g. sterility, vitiligo, Behcet disease. So the millimeter wave and magnetism light compound therapy may find wide clinical applications.
Adolescent
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Adult
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Aged
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Aged, 80 and over
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Combined Modality Therapy
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Female
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Humans
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Infant
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Infant, Newborn
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Joint Diseases
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therapy
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Magnetics
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therapeutic use
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Male
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Microwaves
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therapeutic use
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Middle Aged
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Otorhinolaryngologic Diseases
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therapy
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Phototherapy
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Skin Diseases, Infectious
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therapy
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Soft Tissue Injuries
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therapy
3.Effect of benefiting Qi and activating blood circulation on critical limb ischemia of lower extremity arterio-sclerosis obliterans after intervention
Wendao LIU ; Jiehan CHEN ; Liuqian FENG ; Fanzhe MENG ; Gang CHANG
The Journal of Practical Medicine 2017;33(24):4169-4172
Objective To discuss the clinical value of benefiting Qi and activating blood circulation on crit-ical limb ischemia(CLI)of lower extremity arteriosclerosis obliterans(ASO)after intervention. Methods Totally 43 patients with CLI were randomly divided into treatment group and control group. Patients in control group re-ceived basic treatment and interventional therapy,and those in treatment group additional benefiting Qi and activat-ing blood circulation for 6 months.The ankle brachial index(ABI),clinical symptoms and patency rate of vascular in 1 month,3 months and 6 months after angioplasty were analyzed and compared. Results ABI in treatment group 1 month,3 months and 6 months after angioplasty was increased when compared with that in control group (P<0.05),and the incidence rate of claudication and rest pain was significantly lower than that in control group 3 months and 6 months later(P<0.05).The patency rate of vessels in treatment group was higher than that of con-trol group and there was significant difference between the two groups(P < 0.05). Conclusions Benefiting Qi to activating blood circulation could improve the clinical efficacy and reduce the degree of restenosis in patients with CLI.