腹主动脉-双股动脉旁路移植术治疗肾下腹主动脉闭塞的疗效分析  

Abdominal aorta-double femoral artery bypass grafting in treatment of subrenal abdominal aorta occlusion

作　　者：李春平[1] 任飞[1] 丁杭[1] 黄烽[1] Li Chunping;Ren Fei;Ding Hang;Huang Feng(Department of Cardiovascular Surgery,Provincial Clinical Medical College of Fujian Medical University/Fujian Province Hospital,Fuzhou 350001,Fujian,China)

机构地区：[1]福建医科大学省立临床医学院/福建省立医院心外一科,福建福州350001

出　　处：《血管与腔内血管外科杂志》2021年第9期1023-1025,1037,共4页Journal of Vascular and Endovascular Surgery

基　　金：福建省2013—2014年度国家临床重点专科建设项目(国卫办医函【2013】544)。

摘　　要：目的分析腹主动脉-双股动脉旁路移植术治疗肾下腹主动脉闭塞的疗效。方法收集2013年8月至2020年6月福建医科大学省立临床医学院/福建省立医院收治肾下腹主动脉闭塞15例患者临床资料。统计围手术期情况和手术效果。术后7 d及术后3、6、12个月进行随访。结果13例手术成功,2例死亡,技术成功率86.7%;术后7 d及术后3、6、12个月随访显示,无移植物感染、栓塞、肠坏死、肾功能衰竭及下肢动脉栓塞发生,临床成功率86.7%。结论腹主动脉-双股动脉旁路移植术相对安全,并发症少,值得推广使用。Objective To analyze the clinical effect of abdominal aorta-double femoral artery bypass grafting in the treatment of subrenal abdominal aortic occlusion.Method The clinical data of 15 patients with subrenal abdominal aortic occlusion admitted to Provincial Clinical Medical College of Fujian Medical University/Fujian Province Hospital from August 2013 to June 2020 were collected.Perioperative conditions and surgical effects were calculated.Follow-up was performed 7 days and 3,6 and 12 months after operation.Result 13 cases were successfully operated,2 cases died,and the technical success rate was 86.7%;follow-up 7 days and 3,6,12 months after operation showed no graft infection,embolism,intestinal necrosis,renal failure,and lower extremity arteries embolism occurred,and the clinical success rate was 86.7%.Conclusion Abdominal aorta-double femoral artery bypass grafting is relatively safe and has fewer complications,which is worthy of popularization.

关 键 词：腹主动脉闭塞 股动脉 旁路移植术 

分 类 号：R543[医药卫生—心血管疾病]