下肢动脉硬化闭塞症的个体化治疗经验  

THERAPEUTIC EXPERIENCES OF INDIVIDUALIZED THERAPY FOR ARTERIOSCLEROSIS OBLITERANS

作　　者：陈建立[1] 常燕[1] 张国志[1] 王长友[1] 赵鹏[1] 

机构地区：[1]华北煤炭医学院附属医院普外科,唐山063000

出　　处：《现代预防医学》2009年第4期789-790,共2页Modern Preventive Medicine

摘　　要：[目的]探讨下肢动脉硬化闭塞症外科手术个体化方案的合理性。[方法]对最近7年收治并行手术治疗的69例下肢动脉硬化闭塞症患者的临床类型和手术方式进行回顾性分析。[结果]根据不同情况,分别实施了血管腔内治疗、血管旁路术、腔内治疗联合血管旁路术、解剖外旁路移植术及股深动脉成形术等,效果良好。[结论]下肢动脉硬化闭塞症的个体化治疗能降低患者手术风险,改善预后;根据术前评估指导制定的个体化手术方案具有临床应用价值。[ Objective] To evaluate the rationality of individualized surgical procedures in terms of arteriosclerosis obliterans. [Methods] 69 cases with arteriosclerosis obliterans （ASO） who underwent surgical therapy during recent 7 years were retrospectively reviewed about their clinical types and surgical way. [ Results] Patients were underwent endovascular treatment, operation by pass, endovascular treatment with operation by pass, extra anatomic bypass graft or profundaplasty according to their diseases, and all of them showed to be favorable effect. [Conclusion] The risk of patients with arteriosclerosis obliterans could be reduced, and the prognosis could be improved through individualized therapy. The individualized therapy for arteriosclerosis obhterans which was designed and evaluated before operation is worthy of great clinical application.

关 键 词：下肢动脉硬化闭塞症 血管外科手术 个体化 

分 类 号：R543.5[医药卫生—心血管疾病]