主髂动脉闭塞症的重建术术式选择

Selectionofsurgicalapproachesinthetreatmentofaortoiliacarterialocclusivedisease

为探索主髂动脉闭塞重建手术方式选择的规律，作者对３１例不同类型的主髂动脉闭塞症患者分别采用动脉硬化内膜切除术、主－髂或主－股动脉旁路术、解剖外途径动脉旁路术和顺序动脉旁路术治疗。手术死亡率为３．２％。五年通畅率为８４．２％；二期五年通畅率为９６．５％。作者认为踝／肱指数对正确掌握动脉重建术指征有肯定意义。

patientswithaortoiliacocclusivediseasewithorwithoutinfrainguinalocclusionwastreatedwiththromboendarterectomies,aortoiliacoraortofemoralarterialbypasses,extra-anatomicby-passesandsequentialarterialbypassesinthepast5years.Theresultsweresatisfactory.Thesurgicalmortalitywas3.2%,theprimary5-yearpatentratewas84.2%,andthesecondary5-yearpatentratewas96.5%.WeemphasizethevalueofABItoindicatearterialreconstruction.