下肢动脉硬化闭塞症股浅动脉段的治疗现状

Current Status of Treatment of Superficial Femoral Artery Segment of Lower Extremity Arteriosclerosis Occlusive Disease

随着人民生活水平的提高和社会老龄化的日趋严重,以下肢动脉硬化闭塞症为主的动脉硬化性病变的发病率亦逐年攀升。股浅动脉段的狭窄和闭塞是下肢动脉硬化闭塞症的主要临床表现。其中,运动和口服药物等对症治疗方式可暂时延缓股浅动脉狭窄或闭塞的进展。血运重建可通过合理运用多种手术方式及时有效地改善患肢的缺血症状。目前只有及时发现,综合治疗才能最大限度地保障股浅动脉硬化闭塞的治疗效果。但股浅动脉术后的远期通畅率仍不理想,因此提高股浅动脉术后的远期通畅率仍是未来的研究重点。

With the improvement of human living standard and the aging of the society, the incidence of arteriosclerosis lesions with lower limb arteriosclerosis obliterans as the main symptom is increasing year by year.The stenosis and occlusion of the superficial femoral artery is the main clinical manifestation of arteriosclerosis obliterans of the lower extremity.Symptomatic therapy such as exercise and oral medication can temporarily delay the progression of superficial femoral artery stenosis or occlusion.Revascularization can timely and effectively improve the symptoms of limb ischemia by rational use of a variety of surgical methods.At present, only timely discovery, comprehensive treatment can maximally ensure the therapeutic effect of the superficial femoral artery sclerosis occlusion.However, the longterm patency rate after superficial femoral artery surgery is still not ideal, so improving the longterm patency rate is still the focus of future research.