摘要
目的总结髂动脉支架联合人工血管转流术治疗下肢动脉硬化闭塞症(ASO)的经验。方法回顾性分析2004年5月至2008年6月共59例(75条肢体)ASO患者的临床资料。结果患者均采取髂动脉支架联合人工血管转流术治疗,其术后6、12、24、36及48个月的累积通畅率分别为94%、90%、85%、69%和60%。术后踝/肱指数(ABI)为0.3～1.2,平均为0.85±0.16,与术前(ABI0.1～0.67,平均为0.41±0.14)比较差异有统计学意义(P<0.05)。术后1个月临床症状好转为34.67%(26/75),显效为57.33%(43/75)。术后1个月内并发症15例(25.4%),均经治疗病情好转痊愈出院。结论髂动脉支架联合人工血管转流术是一种安全有效的治疗下肢ASO的方式,可以获得很好的临床效果和中期通畅率。
Objective To review the experiences of iliac artery stents combined with artificial graft bypass in treatment of the arteriosclerosis obliterans(ASO).Methods From May 2004 to June 2008,59 consecutive ASO patients(75 limbs) were admitted,and their clinical data were analyzed retrospectively.Results All cases underwent combination of iliac artery stents and artificial graft bypass,and the cumulative patency rate at 6-month,1-,2-,3-and 4-year after operation were 94%、90%、85%、69% and 60%,respectively.There were significant differences between preoperative ankle-brachial index(ABI)(0.1~0.67;mean,0.41±0.14) and postoperative ABI(0.3~1.2;mean,0.85±0.16)(P<0.05).One month after operation,the symptoms were relieved slightly in 34.67%(26/75) of patients and relieved obviously in 57.33%(43/75) of patients.Complications occurred in 15 cases within 1 month postoperatively,and cured by treatment.Conclusion Iliac artery stents implantation combined with artificial graft bypass is feasible,safe and effective to the ASO with satisfied clinical outcomes and midterm patency rate.
出处
《中国血管外科杂志（电子版）》
2010年第2期87-90,共4页
Chinese Journal of Vascular Surgery(Electronic Version)
关键词
髂动脉支架
人工血管转流术
动脉硬化闭塞症
累积通畅率
Stents,iliac artery
Artificial graft bypass
Arteriosclerosis obliterans
Cumulative patency rate.
