股深动脉血流重建治疗下肢动脉硬化闭塞症(附28例报告)

Clinical Study on the Role of Profunda Femorts Revascularization for Arteriosclerosis Oblilerans of the Lower Extremlty

目的：总结股深动脉血流重建治疗下肢动脉硬化闭塞症的经验。方法：以股深动脉作为流入道和流出道施行旁路转流术,共4种手术方式：①腹主-股深动脉旁路转流术;②股-股深动脉旁路转流术;③股深动脉成形术;④股深动脉-腘动脉旁路转流术。结果：治疗下肢动脉硬化闭塞症28例,共38条患肢。本组28例已随访5~60个月,平均24个月。疗效良好者20例;1例症状好转;3例保留足跟的截足者,仅保持户内活动,但生活可自理;1例术后6个月因严重感染行膝下截肢术。结论：当髂股或股浅动脉广泛性闭塞时,股深动脉作为流入道和流出道,为重建下肢血液循环起重要作用。股深动脉血流重建治疗严重肢体缺血简单,安全,有效。

Objective：To apply the profunda femoris artery for the treatment of the treatment of severly is chemic lower extremity.Methods：Making use of profunda femoris artery as inffow or outflow pathway in bypass operation.There were four kinds of operations：① Aorto-profunda bypass;②Common femoro-profunda cross over bypass;③ Profundoplasty;④Profundo-popliteal artery bypass.Results：28 casess with severe arteriosclerosis obliterans weretreated torally 38 lowerlimbs.After a mean follow-up 24 months,the excellent results were achieved in 20cases and 1patient improved.Amputation was performed in one limb after 6 months of operation because of severe infection.Conclusions：The profunda femoris artery plays an important role in aorto-femoral artery reconstruction.It is a good inflow or outflow providing artery to severely ischemic lower limbs with occlusion of aorto-ilio-superficial,ilio-superficial or superfical femoral arteries.Profunda femoris revascularization is simple,safe andeffective.