流出道对于股-腘人工血管旁路术后重度狭窄闭塞的影响  

Effect of outflow tract on severe stenosis and occlusion after artificially grafting femoropopliteal bypass

作　　者：黄俊杰[1] 栗力[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市人民医院血管外科,天津300121

出　　处：《中国血管外科杂志（电子版）》2011年第2期98-100,共3页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的探讨流出道对于人工血管旁路术后重度狭窄闭塞的影响。方法回顾性分析2007年3月～2009年3月收治的115例外周动脉硬化性闭塞症患者的临床资料。根据术前流出道情况分为两组:膝下仅1条流出道通畅者为一组;膝下1条以上流出道通畅者为另一组。观察两组患者术后2、6、12、24个月人工血管的通畅情况。结果随访24个月,膝下仅1条流出道通畅组与膝下1条以上流出道通畅组患者的人工血管原发通畅率比较,差异有统计学意义(45.5%vs63%,P<0.05)。结论流出道对股腘动脉(膝上)人工血管旁路术长期通畅率有所影响,近期通畅率影响不大。Objective To explore the effect of outflow tract on severe stenosis and occlusion after artificially grafting femoropopliteal bypass for patients with chronic ischemia of low extremities.Methods A total of selected 115 cases with peripheral artery occlusive disease(PAOD),who were treated in our hospital from Mar.2007 to Mar.2009,were divided into two groups according to their outflow tracts.One group included patients with only one infrapopliteal outflow tract unobstructed,and another group included patients who had more than one infrapopliteal outflow tracts unobstructed.Primary patency of blood vessel prosthesis was evaluated at 2,6,12 and 24 months after operation,respectively.Results After a follow-up of 24 months,there was significant difference in the primary patency between two groups(45.5% vs 63%,P<0.05).Conclusion Outflow tracts effect long-term primary patency after artificially grafting femoropopliteal bypass,but it have limited effect on short-term primary patency.

关 键 词：动脉闭塞性疾病 移植物闭塞 血管 流出道 

分 类 号：R654.3[医药卫生—外科学]