杂交手术治疗下肢动脉硬化闭塞症并血栓形成26例体会  

Hybrid surgical treatment of lower extremity arterial occlusive disease and 26 cases of thrombosis Experience

作　　者：赵松峰[1] 李文明[1] 李彦州[1] 

机构地区：[1]郑州大学附属洛阳中心医院血管外科,471009

出　　处：《中国医疗前沿》2013年第23期51-52,共2页China Healthcare Innovation

摘　　要：目的探讨杂交手术对下肢动脉硬化闭塞症并血栓形成的疗效。方法回顾我科2005年-2010年26例下肢动脉硬化闭塞症并血栓形成患者行杂交手术治疗,全部股动脉切开取栓,其中球囊扩张者11例,支架置入者15例。结果 26例患者术后肢体麻木症状减轻,发凉、疼痛症状缓解,跛行消失或跛行距离延长,ABI平均提高至0.98±0.13;出院后随访2-7年,其中死亡6例,糖尿病膝下动脉硬化闭塞1例,支架内动脉内膜增生血管狭窄2例。结论杂交手术是治疗下肢动脉硬化闭塞症并血栓形成的有效方法,严格把握手术适应症和合理选择手术方式是治疗的关键。Objective To investigate the hybrid operation for arteriosclerosis obliterans and thrombosis treatment. Methods Retrospective our department in 2005-2010 26 cases of arteriosclerosis obliterans and thrombosis underwent surgical treatment of hybrids and all femoral artery incision embolectomy, in which 11 cases of balloon dilation, stent placement in 15 cases. Results Symptoms such as numbness, coldeness, pain, limp of the 26 patients have been relieved after operation, ABI has been increased to 0.98±0.13. The patients were followed up 2-7 years, 6 of them dead, 1 of them arteriosclerosis obliterans, 2 of them in-stent stenosis. Conclusion Surgery is the treatment of hybrid arteriosclerosis obliterans and effective way of thrombosis. Strictly control surgical indications and rational choice of surgical approach is the key to treatment.

关 键 词：下肢动脉硬化闭塞症 杂交手术 

分 类 号：R654.3[医药卫生—外科学]