摘要
目的探讨复合手术治疗股浅动脉长段闭塞的临床疗效。方法回顾性分析2017年1月—2019年6月行复合手术治疗的43例股浅动脉长段闭塞患者(49条患肢)的临床资料。采用踝肱指数(ABI)、通畅率等指标评价复合手术疗效。血管通畅率应用K-M曲线统计。结果43例患者(49条患肢)手术均取得成功,术后症状改善率95.35%(41/43),围术期并发症发生率13.95%(6/43)。术后平均踝肱指数0.81±0.11,高于术前的0.29±0.17(P<0.05)。平均间歇性跛行距离从术前(188±21)m提高至(570±43)m(P<0.05)。术后6个月、1、2年的一期通畅率分别为91.84%(45/49),83.67%(41/49),71.43%(35/49);6个月、1、2年二期通畅率分别为97.96%(48/49),95.92%(47/49),91.84%(45/49)。结论复合手术治疗股浅动脉长段闭塞安全有效。
Objective To investigate the clinical efficacy of hybrid procedures for long segmental occlusion of the superficial femoral artery.Methods The clinical data of 43patients(49limbs)long segmental occlusion of the superficial femoral artery undergoing hybrid procedures from January 2017 to June 2019 were retrospectively analyzed.The ankle brachial index(ABI),patency rate were evaluated after operation.Results The hybrid procedures were successfully performed in all the 43 patients(49limbs).The clinical ameliorated rate was 95.35%and the incidence of perioperative complications was 13.95%.The postoperative distance of intermittent claudication(570±43)m and ankle-brachial index(0.81±0.11)were significantly higher than those before operation(both P<0.05).6-month,1 and 2 year primary patency rate was 91.84%,83.67%and 71.43%,and secondary patency rate was 97.96%,95.92%,and 91.84%respectively.Conclusion Hybrid operation provide an effective treatment to long-segmental occlusion of the superficial femoral artery.
作者
吴斐
牛晓阳
曾倩
曾胜男
崔文军
王兵
WU Fei;NIU Xiao-yang;ZENG Qian;ZENG Sheng-nan;CUI Wen-jun;WANG Bing(Department of Vascular Surgery,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《医药论坛杂志》
2021年第8期4-7,共4页
Journal of Medical Forum
基金
河南省医学科技攻关计划联合共建项目(2018020242)。
关键词
复合手术
动脉闭塞性疾病
股浅动脉
治疗效果
Hybrid procedure
Arterial occlusive disease
Superficial femoral artery
Treatment outcome
