耻骨上交叉转流治疗髂股静脉闭塞荟萃分析

Treatment of chronic iliofermoral venous occlusion with Palma-Dale's operation:Meta-analysis

目的:总结分析耻骨上交叉转流治疗髂股静脉闭塞的可行性及疗效。方法:按预定纳入排除标准,对所有纳入的关于耻骨上交叉转流治疗髂股静脉闭塞中外文文献进行荟萃分析。结果:共纳入21篇文献416例患者,平均随访(3.01±2.10)年,手术有效率为(85.67±15.01)%,建立动静脉瘘的比率为50.72%,术中应用大隐静脉转流的比率为70.19%,应用人工血管转流的比率为29.56%。结论:在严格控制适应证的前提下,耻骨上交叉转流是一种操作简单、安全、实用的治疗髂股静脉闭塞的有效方法。

Objective：To evaluate the effects of Palma-Dale＇s operation on treatment of chronic Iliofermoral venous occlusion.Methods：According to predetermined criteria,the literatures about Palma-Dale＇s operation on treatment of chronic iliofermoral venous occlusion were analyzed with Meta-analysis.Results：A total of 21 articles included 416 cases of patients with an average follow-up of（3.01±2.10） years,the operation efficiency was（85.67±15.01）%.50.72% of the patients establish a temporary arteriovenous fistula.76% of patients were used saphenous vein bypass,while graft application rate was 29.56%.Conclusion：Palma-Dales procedure is simple and effective for treating chronic Iliofermoral venous occlusion.Careful selection of candidates for surgical procedure is the keypoint to get satisfactory results.