腘动脉闭塞性病变69例治疗分析  

Treatment of popliteal artery occlusion lesions:An analysis of 69 cases

作　　者：刁永鹏[1] 郭李龙[1] 宋小军[1] 陈跃鑫[1] 连利珊[1] 刘昌伟[1] 李拥军[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院血管外科,北京100730

出　　处：《中国实用外科杂志》2014年第2期170-172,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨单纯腘动脉闭塞性病变的治疗方法及效果。方法回顾性分析北京协和医院血管外科于2010年1月至2012年12月收治的单纯腘动脉闭塞病人(69例,82条肢体)的临床资料。其中26例病人(31条肢体)接受手术治疗,43例病人(51条肢体)接受介入治疗。结果术后随访平均(21.9±8.8)个月。手术治疗:25条肢体(80.6%)症状缓解,6条肢体再狭窄(其中3条截肢),一期通畅率80.6%,救肢率90.3%,共发生2例(7.7%)并发症。介入治疗:42条肢体(82.4%)症状缓解,17条肢体出现再狭窄(出现症状的9条中6条截肢),一期通畅率66.7%,救肢率88.2%,共发生5例(11.6%)并发症。无围手术期死亡病例。结论对于动脉粥样硬化引起的腘动脉闭塞,应首选介入治疗,介入治疗失败且远端流出道条件较好者可行手术治疗。Objective To summarize the treatment experience and effect of the popliteal artery occlusion lesions. Methods The clinical data of patients with popliteal artery occlusion （69 patients, 82 limbs） admitted from January 2010 to December 2012 in Peking Union Medical College Hospital were analyzed retrospectively. 26 patients had underwent operative therapy, and 43 patient had underwent endovascular therapy. Results The mean follow-up was （21.9±8.8） months. Operative therapy：symptoms of 25 limbs were relieved; restenosis occurred in 6 limbs （3 limbs were amputated）; primary patency rate was 80.6%; limb salvage rate was 90.3%; complication occurred in 2 cases （7.7%）. Endovascular therapy： symptoms of 42 limbs（82.4%） were relieved; restenosis occurred in 17 limbs （6 limbs were amputated among 9 limbs which had clinical symptoms）; primary patency rate was 66.7%; limb salvage rate was 88.2%; complication occurred in 5 cases （ 11.6% ）. None died during perioperative period. Conclusion Endovascular therapy should be the preferred method if the popliteal artery occlusion is caused by atherosclerosis. Surgical treatment should be reserved in those endovascular treatment failed and the outflow tract without stenosis.

关 键 词：动脉硬化闭塞症 腘动脉 手术治疗 血管腔内治疗 

分 类 号：R6[医药卫生—外科学]