摘要
目的探讨下肢动脉硬化闭塞症的腔内及联合手术治疗及效果。方法回顾性分析48例下肢动脉硬化闭塞、多阶段闭塞及手术后再狭窄者的临床资料。结果对24例患者采取单纯的腔内治疗、(4例例单纯气囊扩张,20加行内置支架),24例采用腔内治疗联合人工血管旁路术及人工血管吻合口狭窄支架术。48例术后症状均有不同程度的改善,间歇性跛行消失或跛行距离增大,静息痛消失或减轻,肢体末端溃疡愈合。ABI较术前明显升高(P<0.01)。46例获3～82个月随访,43例情况良好。结论对下肢动脉缺血性疾病,合理选择血管腔内治疗、腔内治疗联合人工血管旁路术及人工血管吻合口狭窄支架术,可降低并发症率及病死率,术后血管通常率大幅提高。
Objective To study the outcome of endovascular therapy alone or combined prosthetic bypass surgery for arteriosclerosis obliterans of lower limbs.Methods The clinical data of 48 patients with arteriosclerosis obliterans, multiple levels of stenosis and postoperative arterial reocclusion were retrospectively andayzed.Results Endovascular therapy alone was performed in 24 cases, including balloon dialation in 4 patients and plus stent in 20 patients; and combined with prosthetic bypass graft in 24 patients. In 48 patients,rest pain disappeared and the ulcers healed after the operation, and ABI increased gradually after treatment（P0.01）. Forty-six patients had regular follow-up for 3 months to 82 months, of whom 43 cases had no recurrence.Conclusions Endovascular therapy alone or combined with surgical treatment is a feasible,safe and effective choice for arteriosclerosis obliterans of lower limbs, and with a low complication rate and quick recovery.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2010年第12期1274-1275,共2页
China Journal of General Surgery
关键词
动脉硬化
闭塞性/外科学
下肢
腔内治疗
Arteriosclerosis
Obliterans/surg
Lower Extremity
Endovascular Therapy
