下肢动脉硬化闭塞症旁路手术的现状及进展  

Status and prospect of bypass surgery for lower extremity arteriosclerosis obliterans

作　　者：董智慧 毛乐 符伟国 Dong Zhihui;Mao Le;Fu Weiguo(Department of Vascular Surgery,Zhongshan Hospital,Fudan University,Institute of Vascular Surgery,Fudan University,National Clinical Research Center for Interventional Medicine,Department of Vascular Surgery,Shanghai Geriatric Medical Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院血管外科、复旦大学血管外科研究所、国家放射与治疗临床医学研究中心、上海市老年医学中心血管外科,上海200032

出　　处：《中华血管外科杂志》2024年第6期351-355,共5页Chinese Journal of Vascular Surgery

基　　金：国家自然科学基金(82170493,82370480)。

摘　　要：下肢动脉硬化闭塞症是血管外科的常见疾病,也是重要的致残、致死原因。下肢动脉硬化闭塞症的发病率在我国逐年升高,患病人数可能高达4530万。下肢动脉硬化闭塞症主要通过外科手术、腔内治疗和复合手术等方式进行血运重建。近年来,随着腔内技术及器械的不断创新,下肢动脉硬化闭塞症的腔内治疗取得了长足的发展,然而其术后的长期结果仍不明确。多项临床试验表明,以旁路手术为代表的外科手术仍在下肢动脉硬化闭塞症的血运重建中占据重要位置,是部分复杂病变患者的首选治疗方式。Lower extremity arteriosclerosis obliterans is a common disease in vascular surgery,and it is also an important cause of disability and death.The incidence of lower extremity arteriosclerosis obliterans is increasing year by year in China,and the number of patients may be as high as 45.3 million.Lower extremity arteriosclerosis obliterans is mainly revascularized through surgery,endovascular therapy and hybrid surgery.In recent years,with the continuous innovation of endovascular technology and devices,the endovascular treatment of lower extremity arteriosclerosis obliterans has made great progress,but its long-term postoperative results are still unclear.A number of clinical trials have shown that bypass surgery still plays an important role in the revascularization of lower extremity arteriosclerosis obliterans,and is the preferred treatment for some complex patients.

关 键 词：下肢动脉硬化闭塞症 开放手术治疗 旁路手术 血运重建 

分 类 号：R54[医药卫生—心血管疾病]