股[月国]动脉闭塞的外科治疗

Surgical management on femoropopliteal occlusive diseases

股[月国]动脉段是下肢缺血最常累及的部位。针对股[月国]动脉闭塞的治疗，以往主要以旁路手术为主，近些年来，随着介入技术及材料的日益发展，旁路手术已逐渐被创伤较小的腔内介入取代，且多数随机对照试验证实，两者在远期通畅率及生存率方面无显著差别。在临床实践中，应根据具体的病变特点及预期生存时间选择个性化的治疗方案。

Femoropopliteal artery is a common site of lower limb ischemia. In the past years, bypass operation is the main therapeutic method to treat femoropopliteal occlusive disease. But recently, with the development of endovascular techniques and materials, bypass operations have been replaced by the less trau- matic endovascular interventions. Moreover, multiple randomized controlled trials show there is no significant difference in late patency and survival rate. In clinical practice,we should make the personal treatment according to the features of lesion and patient＇s self-condition.