杂交技术治疗复杂下肢动脉硬化闭塞症疗效分析  

Efficacy analysis of hybrid procedures for complicated arteriosclerosis obliterans of the lower extremities

作　　者：吴斐[1] 刘俊超[1] 王洛波 丁语[1] 李攀峰[1] 李阳[1] 王兵[1] 

机构地区：[1]郑州大学第五附属医院血管外科,河南郑州450052

出　　处：《中国普通外科杂志》2015年第12期1683-1686,共4页China Journal of General Surgery

基　　金：河南省医学科技攻关计划重点基金资助项目(201202015)

摘　　要：目的:探讨采用杂交技术治疗复杂下肢多节段动脉硬化闭塞症的临床疗效。方法:分析2014年3月—2014年9月行杂交技术治疗的30例(30条患肢)复杂下肢动脉硬化闭塞症患资料。30例患者病变部位累及主-髂动脉、股-腘动脉、股深动脉以及膝下动脉;均行血管腔内修复术,20例行动脉内膜剥脱术,10例行动脉取栓术,8例加行股深动脉成形术。结果:30例杂交手术均获得成功,技术成功率100%,围手术期并发症发生率30%(9/30)。临床成功率为96.67%,术后平均踝肱指数较术前提高了0.37±0.19。术后6、12个月一期通畅率分别为90%、73%,12个月救肢率为97.67%。结论:杂交技术治疗复杂下肢动脉硬化闭塞症具有较高的短期通畅率和救肢率。Objective： To investigate the therapeutic efficacy of hybrid procedures for multisegmental lower extremity arteriosclerosis obliterans. Methods： The clinical data of 30 patients （30 affected limbs） with complicated lower extremity arteriosclerosis obliterans undergoing hybrid revascularization procedures from March 2014 to September 2014 were analyzed. Of the 30 patients, the lesion sites involved the aortoiloac, femoropopliteal, profunda femoris and infrapopliteal arteries; all cases underwent endovascular repair, of which, 20 cases were subjected to endarterectomy, 10 cases received arterial embolectomy, and 8 cases had profundaplasty. Results： The hybrid procedures were successfully performed in all the 30 patients, and technical success rate was 100%. The incidence of perioperative complications was 30% （9/30）, the clinical success rate was 96.67% （29/30）, and the postoperative average ankle-brachial index increased by an average of 0.37±0.19 compared with the preoperative value. The 6- and 12-month primary patency rate was 90% and 73%, and the 12-month limb salvage rate was 97.67%, respectively. Conclusion： The hybrid procedures offer excellent short-term patency and limb salvage rate for complicated arteriosclerosis obliterans of the lower extremities.

关 键 词：动脉闭塞性疾病 下肢 杂交手术 

分 类 号：R654.3[医药卫生—外科学]