摘要
目的:探讨杂交手术治疗多节段下肢动脉硬化的方法及疗效。方法:146例下肢多节段动脉硬化闭塞症患者,根据病变部位及闭塞程度,采用传统外科手术治疗及杂交手术(血管腔内介入加内膜剥脱或取栓术及血管腔内治疗加人工血管旁路术)治疗,了解两种治疗方法的疗效。结果:杂交治疗组在手术成功率、术后并发症、踝肱指数及通畅率等方面与传统外科手术组相比,差异有统计学意义(P<0.05)。结论:杂交手术治疗下肢多动脉硬化闭塞症,根据病变部位及程度,采用个体化治疗,手术并发症少,术后畅通率高。
Objective To discuss the clinical effect of Hybrid operation for the treatment of muhifocal lesions in arteriosclerosis obliterans of the lower extremity. Methods One hundred and thirty-six cases were diagnosed as arteriosclerosis. According to the extensiveness of the arterial occlusion,revascularization was performed in following way-traditional surgery and hybrid operation（endovascular therapy combined with artery endarterectomy or embolectomy of Fogarty and endovascular therapy combined with artificial graft bypass operation）. Results Compared to traditional surgery group, hybrid operation group showed significantly in the success rate of surgery, postoperative complications, ankle-brachial index and patency rates. Conclusion： Aceording to the patient lesion locations and ranges,the choice of hybrid operation can accomplish less surgical complications and a higher patency.
出处
《中国中西医结合外科杂志》
CAS
2013年第1期23-26,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
