摘要
目的:探讨广泛性下肢动脉闭塞症治疗方法的选择。方法:自1994年3月至2008年5月对49例51条具有慢性缺血表现的下肢,经多普勒超声和数字减影血管造影(DSA)、CT血管造影(CTA)或磁共振血管造影(MRA)检查,确诊为下肢动脉广泛性闭塞症。根据影像提示的病变部位与程度不同,分别采用3种血管重建方式:①35例(37条下肢)行静脉动脉化手术治疗;②8例(8条下肢)行股深动脉重建;③6例(6条下肢)行血管腔内介入治疗。结果:28例(30条下肢)静脉动脉化术后随访1.5～13.5年,7条截肢;8例(8条下肢)股深动脉重建术后随访1～4年,2条截肢;6例(6条下肢)血管腔内介入治疗术后随访6个月至1.5年,1条截肢。除10条截肢外,其余41条患肢的症状均有不同程度好转,病人基本可正常生活。结论:根据广泛性下肢动脉闭塞症病变部位与程度不同,选择合适的治疗方法是提高其疗效的关键。
Objective Study to choose different modes of treatment for extensive arterial occlusion of the lower extremities. Methods From March 1994 to May 2008, 49 cases （51 lower limbs） affected by chronic ischemia were diagnosed as extensive arterial occlusion after Doppler ultrasound and magnetic resonance angiography （MRA）, CT angiography （CTA） or digital subtraction angiography （DSA）. According to the extensiveness of the arterial occlusion, revascularization was performed in one of the following three ways： 35 cases （37 lower limbs） underwent venous arterialization; 8 cases（8 lower limbs） underwent profunda femoris revascularization; 6 cases（6 lower limbs） underwent endovascular therapy. Results Seven lower limbs in 28 cases （30 lower limbs）were amputated 1.5 to 13.5 years after venous arterialization; 2 of 8 lower limbs were amputated 1 to 4 years after profunda femoris revascularization; and 1 of 6 lower limbs were amputated 6 months to 1.5 years after endovascnlar therapy. Apart from the 10 lower limbs which were finally amputated, the postoperative results of the other 41 limbs were satisfactory. Conclusions In order to improve the curative effect of extensive arterial occlusion of the lower extremities, it is important to choose the suitable mode of treatment according to the extensiveness of the arterial occlusion.
出处
《外科理论与实践》
2009年第3期290-292,共3页
Journal of Surgery Concepts & Practice
关键词
下肢
动脉闭塞
血管重建
Lower extremities
Arterial occlusion
Revascularization
