腋-股动脉旁路术治疗主髂动脉闭塞性疾病的疗效分析  

Role of axillofemoral arterial bypass in the management of aorta- iliac occlusive disease

作　　者：白云清[1] 亓明[1] 

机构地区：[1]大连医科大学附属第一医院血管外科,辽宁大连116011

出　　处：《大连医科大学学报》2013年第4期349-351,共3页Journal of Dalian Medical University

摘　　要：目的探讨腋-股动脉旁路术在治疗主髂动脉闭塞性疾病中的意义。方法回顾性分析采用腋-股动脉旁路术治疗的35例主髂动脉闭塞性疾病患者，其中有间歇性跛者5例，下肢静息痛11例，合并溃疡或坏疽19例。闭塞原因包括动脉硬化闭塞症29例、血栓形成5例、主动脉夹层1例。术式为腋-双股动脉旁路术19例，腋-单侧股动脉旁路术16例，使用的旁路移植血管均为聚四氟乙烯（Gore—Tex）人工血管。结果本组病例围手术期未发生死亡，术后患肢间歇性跛行或静息痛消失，皮肤温度、颜色明显改善。远期随访时间3—80个月，总的术后1、3、5年移植血管的通畅率分别为：93％、87％、81％。结论腋-股动脉旁路术具有侵袭性小。疗效确切等特点，是治疗主髂动脉闭塞性疾病的有效方法之一。Objective To study the role of axillofemoral arterial bypass in the management of aorta -iliac occlusive disease. Methods Thirty - five cases of aorta - iliac occlusive disease managed by axillofemoral arterial bypass were retrospectively analyzed. Diseases for occlusion include arteriosclerosis obliterans in 29 cases, thrombosis 5 cases and dissection 1 case, respectively. Clinical features include eiaudication in 5, resting pain 11 and ulcer/gangrene 19 patients, respectively. Axillo - bifemoral bypass was performed in 19 and axillo - unifemoral bypass 16 cases, respectively. Results Postoperatively, symptoms were relieved in all cases, with resting pain disappeared and skin temperature improved. Patients were followed up for 3 monthes to 80 monthes. The overall graft patcncy rates in this series were 93% , 87% and 81% in 1 year, 3 years and 5 years, respectively. Conclusion Axillofemoral arterial bypass has merits like less invasive and definite thera- peutic effects, and thus is one of the effective methods for the treatment of aorta - iliac occlusive diseases.

关 键 词：动脉闭塞性疾病 动脉旁路术 人工血管 

分 类 号：R654.3[医药卫生—外科学]