主髂动脉闭塞症的治疗现状和进展  

The current treatment and recent progress in aortoiliac occlusive disease

作　　者：舒畅[1,2] 黎明 Shu Chang;Li Ming(Department of Vascular Surgery,The Second Xiangya Hospital,Central South University,Hunan Provincial Open and Microtraumatic Interventional Treatment Center for Great Vessel Disease,Changsha 410013,China;Center of Vascular Surgery,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences,Beijing 100037,China)

机构地区：[1]中南大学湘雅二医院血管外科、湖南省大血管疾病外科及微创介入诊疗中心,长沙410011 [2]国家心血管病中心、中国医学科学院阜外医院血管外科,北京100037

出　　处：《中华血管外科杂志》2023年第1期1-5,共5页Chinese Journal of Vascular Surgery

基　　金：2021中南大学研究生教育教学改革项目(2021JGB150)。

摘　　要：主髂动脉闭塞症(AIOD)是周围动脉疾病的一种,主要表现为腹主动脉远端和/或髂总动脉、髂内动脉、髂外动脉的慢性狭窄或闭塞性改变。由于很多无症状患者,其人群发病率很难统计,据报道为4%~14%。70岁以上人群发病率为14%~20%,80岁以上发病率约为23%。AIOD的临床表现可从间歇性跛行、静息痛至组织坏死,合并髂内动脉闭塞者还可同时伴有阳痿。流出道通畅的单纯性主髂动脉病变的症状更多为间歇性跛行。据统计,约有1/4间歇性跛行患者症状可自行好转,另外1/4间歇性跛行患者症状将加重。开放治疗是过去治疗的金标准,而随着腔内技术的进步,微创介入治疗目前已占主导地位。本文将对目前各种治疗方法进行了综合评述。Aorto-iliac occlusive disease(AIOD)is a type of peripheral arterial disease(PAD)characterized with chronic stenosis/occlusion of distal abdominal aorta,common iliac arteries,external iliac arteries or the combination of the above.It's prevalence,although is reported 4%-14%,is hard to calculate in general population because a great amount of patients are asymptomatic.Symptoms range from intermittent claudication(IC),rest pain to tissue loss.If internal iliac artery is involved,patients can develop ED.Symptoms can aggravate in 1/4 of IC patients and can alleviate in another 1/4 of IC patients.Open surgery used to be the"gold standard"for treatment,yet endovascular approach have taken the place and become the first line treatment for AIOD.

关 键 词：主髂动脉闭塞症 开放手术 腔内治疗 

分 类 号：R654.3[医药卫生—外科学]