主髂动脉硬化闭塞症的外科治疗  

Surgical treatment for aortoiliac occlusive disease

作　　者：刘长建[1] 刘晨[1] 乔彤[1] 黄佃[1] 

机构地区：[1]南京大学医学院附属鼓楼医院血管外科,210008

出　　处：《江苏医药》2000年第1期12-14,共3页Jiangsu Medical Journal

摘　　要：目的　探讨主髂动脉闭塞症的外科治疗适应证和方法。方法　人造血管搭桥转流术2 1例 ,其中 8例同时行腔内导管扩张、动脉内膜剥脱成形或取栓术 ;导管动脉取栓和腔内扩张 5例 ;动脉内膜剥脱和取栓 2例。结果　临床症状消失或好转 2 4例 ,随访 0 5～ 9年 ,人造血管通畅率92 %。结论　当踝 /肱指数 <0 5时 ,应及时手术 ;对多平面广泛闭塞病变 ,在施行人造血管搭桥转流术的同时 ,根据病变部位和分布 ,加行动脉内膜剥脱成形和球囊导管扩张术 ,可提高搭桥的血管通畅率。Objective To discuss the indication and selection of surgical approaches in aortoiliac occlusive disease. Methods 28 patients with aortoiliac occlusive disease were treated with a variety of surgical procedures,including aortofemoral bypass,axillofemoral bypass,femorofemoral bypass,balloon angioplasty,endarterectomy and thrombectomy. Results 23 patients recovered or improved.Follow up time ranged from 0 5 to 9 years(mean 3 years),the patent graft rate was 92%. Conclusion ABI of segmental limb Doppler pressure measurement is valuable in the diagnosis,treatment and prognosis.Various operative approaches and methods of revascularization may be used in different clinical circumstances.Comprehensive therapy should be adopted to improve the long term cumulative patency rate.

关 键 词：主髂动脉闭塞 外科手术 血管重建 人造血管 

分 类 号：R654.3[医药卫生—外科学]