摘要
目的评价杂交手术治疗60岁以上人群TASC D型下肢动脉硬化闭塞临床效果。方法选取2011年10月至2013年11月在我院住院治疗的老年下肢动脉硬化闭塞患者52例(54条患肢),根据病变情况,有针对性地为每位患者制定合适的杂交手术方案。结果本组患者手术操作成功率为100%,术后患者ABI指数和间歇性跛行距离分别为0.73±0.21和(254.6±59.5)m,均较术前0.28±0.17和(85.7±45.6)m有明显提高,差异均具有统计学意义(P<0.05);术后6个月,43例(82.7%)有效,5例(9.6%)好转;随访1年时,通畅率为90.7%。结论杂交手术应用于60岁以上人群TASC D型下肢动脉硬化闭塞,有助于采取个体化治疗方案,手术创伤较小、风险较低,具有较好的临床疗效和血管通畅率。
ObjectiveTo investigate the clinical effects of hybrid surgery in TASC type D atherosclerotic occlusive disease for people over the age of 60. Methods 52 cases （54 limbs） of elderly patients with ASO hospitalized in our hospital were selected from October 2011 to November 2013. Each patient were accepted a targeted develop appropriated hybridization surgical plan according to lesions. Results The successful surgical operation rate of this group of patients was 100%. The ABI index and intermittent claudication distance of patents were 0.28±0.17 and （85.7±45.6）m before surgery and 0.73±0.21 and （254.6±59.5）m after surgery, respectively, which were higher than, the differences were statistically significant （P〈0.05）. After 6 months, 43 cases （82.7%） were effective and 5 cases （9.6%） were better. Follow-up for 1year, the patency rate was 90.7%.Conclusion Hybrid surgery applied in TASC type D atherosclerotic occlusive disease for people over the age of 60 helped take individualized treatment plan. The surgery had less invasive and lower risk. It had better clinical efficacy and patency.
出处
《中华临床医师杂志（电子版）》
CAS
2014年第16期14-16,共3页
Chinese Journal of Clinicians(Electronic Edition)
基金
河南省医学科技攻关计划项目(201202015)
