股腘动脉搭桥在下肢股腘动脉长段闭塞患者的临床效果观察  

The treatment experience of femoral popliteal artery bypass surgery for the patients with the femoral popliteal long segment artery occlusive disease

作　　者：张雷杨[1] 陈鑫[1] 

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)心胸血管外科,江苏南京210006

出　　处：《临床和实验医学杂志》2013年第22期1797-1800,共4页Journal of Clinical and Experimental Medicine

基　　金：江苏省六大人才高峰资助项目(编号:2010-061)

摘　　要：目的采用股腘动脉搭桥术对下肢股腘动脉长段闭塞性病变患者进行治疗,观察记录患者的临床表现,分析其临床应用价值。方法将确诊和治疗的下肢股腘动脉长段闭塞性病变患者229例随机分为两组,分别行股腘动脉搭桥术(治疗组)和腔内治疗(对照组)。比较患者治疗前后的临床症状。并对所有患者术后观察6个月,分析其临床疗效。结果治疗组和对照组患者治疗前后的平均踝/肱指数均有统计学差异(P<0.05);其中,治疗后对照组与治疗组的平均踝/肱指数均有统计学差异(P<0.05),而治疗组两种方式-人造血管搭桥术和自隐静脉搭桥术的平均踝/肱指数没有统计学差异(P>0.05)。对照组与治疗组的平均住院时间比较具有统计学差异(P<0.05),而治疗组两种方式的平均住院时间没有统计学差异(P>0.05)。治疗组的临床总有效率明显高于对照组,差异有显著性(P<0.05)。结论相比腔内治疗,股腘动脉搭桥术在对下肢股腘动脉长段闭塞性病变的治疗过程中,能够有效的提升踝/肱指数,改善患者患肢的血流,值得临床推广应用。Objective To observe and recored the clinical manifestations of the patients with the femoral popliteal long segment artery oc- clusive disease. All these patients were treated by the femoral popliteal artery bypass surgery. The clinical value were analyzed. Methods The 229 cases patients who were diagnosed as the femoral popliteal long segment artery occlusive disease were treated by the femoral popliteal artery by- pass surgery （treatment group） and intracavitary therapy （control group）. The clinical symptoms before and after treatment were compared. And all patients were followed up for 6 months. The clinical efficacy was analyzed. Results The ankle/brachial index of patients increased significant- ly in treatment group and control group, before and after therapy （ P 〈 0.05 ）. Compared with control group, ankle/brachial index in the treat- ment group increased significantly after treatment （ P 〈 0.05 ）, while there was no statistical significance between the bypass graft surgery and self - treatment of saphenous vein bypass grafting （ P 〉 0.05 ）. The mean hospital stay of treatment group was obviously less than that of control group （ P 〈 0.05 ）, while there was no statistical difference between the two therapy regimens （ P 〉 0.05 ）. The clinical total effective rate of treatment group was better than control group （ P 〈 0.05）. Conclusion Femoropopliteal bypass surgery can effectively enhance the ankle/brachial index and improve blood flow in patients with long segment femoral popliteal artery occlusive disease, which is worthy of wider promotion.

关 键 词：下肢股腘动脉长段闭塞 股腘动脉搭桥 平均踝 肱指数 

分 类 号：R654.3[医药卫生—外科学]