下肢动脉疾病专题研究(Monographic Study of Arterial Diseases of The Lower Extremities)

杂交技术治疗复杂下肢动脉硬化闭塞症疗效分析

Published at: 2015年第24卷第12期

吴斐 1 , 刘俊超 1 , 王洛波 1 , 丁语 1 , 李攀峰 1 , 李阳 1 , 王兵 1
1 郑州大学第五附属医院 血管外科,河南 郑州 450052
通讯作者 兵 王 Email: hnxgwk@126.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.12.009
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。


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

Abstract

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.


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引用

引用本文: 斐 吴, 俊超 刘, 洛波 王, 语 丁, 攀峰 李, 阳 李, 兵 王. 杂交技术治疗复杂下肢动脉硬化闭塞症疗效分析[J]. 中国普通外科杂志, 2015, 24(12): 1683-1686.
Cite this article as: WU Fei, LIU Junchao, WANG Luobo, DING Yu, LI Panfeng, LI Yang, WANG Bing . Efficacy analysis of hybrid procedures for complicated arteriosclerosis obliterans of the lower extremities[J]. Chin J Gen Surg, 2015, 24(12): 1683-1686.