下肢动脉闭塞疾病的旁路手术治疗  

Bypass surgery for lower extremity arteriosclerosis obliterans

作　　者：史潇兮 戴先鹏 辛世杰[1] Shi Xiaoxi;Dai Xianpeng;Xin Shijie(Department of Vascular and Thyroid Surgery,The First Hospital of China Medical University,Shenyang 110002,China;Departement of Vascular Surgery,The Second Hospital,University of South China,Hengyang 421001,China)

机构地区：[1]中国医科大学附属第一医院普通外科(血管外科/甲状腺外科),沈阳110002 [2]南华大学附属第二医院血管外科,衡阳421001

出　　处：《中华血管外科杂志》2024年第6期356-360,共5页Chinese Journal of Vascular Surgery

基　　金：辽宁省科学技术计划项目(2022JH1/10400002)。

摘　　要：随着人口老龄化进程的加速,我国慢性肢体威胁性缺血患者数量逐年上升。伴随腔内治疗的蓬勃发展,“腔内优先”的策略逐步被医生及患者所认同,传统旁路手术的应用逐年减少,但其仍具备举足轻重的地位。本文聚焦于下肢动脉闭塞疾病的旁路手术治疗,梳理其历史发展、指南推荐、临床研究现状及临床选择等诸多关键要点,强调在腔内时代仍应重视传统下肢动脉旁路手术的必要性。With the acceleration of population aging,the number of patients with chronic limb-threatening ischemia(CLTI)in China is also increasing by years.The"endovascular first"strategy has gradually been recognized by doctors and patients because of its vigorous development.Despite of decreased application,traditional bypass surgery still has a pivotal position.This article,focusing on bypass surgery for arterial diseases of the lower extremities,aims to summarize its development,guide recommendations,clinical research status,and clinical selection,and to emphasize the significance of bypass surgery on the artery of lower extremities nowadays.

关 键 词：外周动脉疾病 慢性肢体威胁性缺血 旁路手术 临床研究 移植物 

分 类 号：R654.4[医药卫生—外科学]