主髂动脉粥样硬化闭塞症的外科治疗34例报告  

SURGICAL MANAGEMENT OF ATHEROSCLEROTlC OCCLUSION OF AORTO-ILIAC ARTERY: A REPORT OF 34 CASES

作　　者：叶建荣[1] 施群 周康荣[2] 郑佳瑾[1] 

机构地区：[1]上海医科大学附属中山医院血管外科研究室 [2]上海医科大学附属中山医院放射科

出　　处：《上海医学》1988年第9期501-504,共4页Shanghai Medical Journal

摘　　要：本文报道主髂动脉粥样硬化闭塞症34例,其中25例经动脉造影检查,发现8例为腹主动脉下段闭塞或严重狭窄,3例为双侧髂外动脉闭塞或严重狭窄,13例为单侧髂外动脉闭塞或严重狭窄。34例中9例非手术治疗,25例行手术治疗:5例作主-髂动脉旁路移植术,10例作腋-股旁路移植术,5例作股-股旁路移植术,移植材料包括真丝人造血管、丝涤人造血管和e-PTFE人造血管;游离大网膜下肢移植,经皮腔内血管成形术,动脉内膜剥脱术加大隐静脉补片移植术各1例;2例直接行膝上截肢术。作者认为,根据动脉造影所显示的不同图像选择最佳手术方式至关重要。手术成败的关键是有无良好的输出道动脉。Since 1974,34 cases of atherosclerotic aorto-iliac artery occlusion have been treated.Of the 34 cases,25 were examined angiographically,revealing abdominal aorta occlusion in 8 cases,bilateral external iliac arteries occlusion in 3,and unilateral external iliac artery occlusion or stenosis in 14.Twenty-five cases were operated upon,5 had aorto-iliac artery bypass,10 axillary-femoral artery bypass,5 by femoro-femoral artery bypass,using silk,silk-dacron,or e-PTFE prosthesis,1 by vascularized omental autotransplantation to lower extremity,1 intimectomy of ilio-femoral artery and saphenous patch graft,1 percutaneous transluminal angioplasty and 2 amputation of lower extremity.It might be concluded that it is very important to individualize surgical management according to angiographic appearance.The key of successful operation is the patency of run-off artery.

关 键 词：人造血管 假体 移植术 闭塞症 动脉闭塞 粥样硬化 股动脉 主髂动脉 

分 类 号：R54[医药卫生—心血管疾病]