摘要
目的探讨动脉旁路移植术与动脉腔内治疗技术治疗严重下肢动脉闭塞症患者的临床效果。方法选取自2012年12月至2016年12月收治的90例严重下肢动脉闭塞症患者为研究对象。按照手术方式的不同将患者分为动脉旁路移植术组(移植组)与动脉腔内治疗组(腔内组),每组各45例。比较两组患者治疗后的踝肱指数(ABI)、早期并发症发生情况及住院时间。对患者进行6、12、18个月的随访,比较两组患者中远期病死率及通畅率。结果两组患者治疗后的ABI均较治疗前明显改善,且腔内组的ABI改善程度优于移植组,腔内组的住院时间也显著短于移植组,组间比较,差异均有统计学意义(P <0. 05)。移植组术后感染率和血栓形成率均显著高于腔内组,并发症总发生率也显著高于腔内组,组间比较,差异有统计学意义(P <0. 05)。随访6、12、18个月后,移植组患者的中远期病死率均低于腔内组,通畅率均高于腔内组,组间比较,差异有统计学意义(P <0. 05)。结论临床上对于严重下肢动脉闭塞症患者进行治疗时,应根据患者的实际情况及适应证来选择相宜的治疗手段,进而提高治疗效果,改善预后。
Objective To investigate the artery bypass grafting with arterial lumen treatment technology for treatment of patients with severe lower limb artery occlusion syndrome.Methods A retrospective study was performed on 90 cases of patients with severe lower limb arterial occlusion who were admitted from December 2012 to December 2016.According to the different surgical methods,patients were divided into the artery bypass grafting group（grafting group）and the arterial lumen treatment group（lumen group）,with 45 cases in each group.Two groups of patients with postoperative ankle brachial index（ABI）,early complications and hospitalization time were compared.Follow-up was performed on patients after 6,12 and 18 months,the long-term mortality and patency rate were compared between the two groups.Results After treatment,the ABI of patients in the two groups were significantly improved compared with that before treatment,and the improvement degree of ABI in the lumen group was better than that in the grafting group,and the hospitalization time in the lumen group was significantly shorter than that in the grafting group,and the difference was statistically significant（ P 〈0.05）.Postoperative infection rate and thrombosis rate of the grafting group were significantly higher than that of the lumen group,and the total incidence of complications was significantly higher than that of the lumen group,and the difference was statistically significant（ P 〈0.05）.After 6,12 and 18 months of follow-up,the mid and long-term mortality of patients in the grafting group was lower than that in the lumen group,and the patency rate was higher than that in the lumen group,and the difference was statistically significant（ P 〈0.05）.Conclusion Clinical treatment for patients with severe lower limb arterial occlusion disease should be performed according to the actual situation of the patients and the indications to select the appropriate treatment,as to improve the effect of treatment and prognosis.
作者
陈虎
余朝文
刘鹏
陈世远
CHEN Hu,YU Chao-wen,LIU Peng,CHEN Shi-yuan(Comprehensive Surgery,Bengbu First People＇s Hospital affiliated to Bengbu Medical College,Bengbu 233000,Chin)
出处
《临床军医杂志》
CAS
2018年第9期1020-1022,共3页
Clinical Journal of Medical Officers
基金
蚌埠市科技指导项目(20160317)
关键词
动脉旁路移植术
动脉腔内
严重下肢动脉闭塞症
治疗效果
Artery bypass grafting
Arterial lumen
Severe lower limb arterial occlusion disease
Treatment effect
