开放手术与腔内治疗对股腘动脉闭塞的疗效评价

Evaluation of Open Surgery versus Endovascular Interventional Therapy in Femoropopliteal Arteriosclerosis

目的:探讨TASC II C、D型股腘动脉闭塞的治疗效果。方法:将TASC II C、D型股腘动脉闭塞性病变178例患者回顾性分为观察组82例(开放手术组)和对照组96例(腔内治疗组),对其疗效和并发症进行评估。结果:术后1周、3个月,观察组通畅率及踝肱指数(ABI)略高于对照组(P>0.05);术后6、12、24个月,观察组通畅率及ABI明显高于对照组(P<0.05);观察组心脑血管不良事发生率高于对照组(P<0.01)。结论:TASC II C、D型股腘动脉慢性闭塞性病变,开放手术治疗后ABI改善情况及中远期通畅率高于腔内治疗组。

Objective To evaluate the therapeutic method for patients with TASC II C, D femoropopliteal arterial occlusive lesions.MethodsFrom March 2009 to March 2013, a total of 178 patients with TASC II C,D femoropopliteal arterial occlusive lesions, were divided into observe group and control group. Open surgery was performed in observe group（82 patients）,endovascular interventional therapy was performed in control group （96 patients）, The 2 groups were compared with respect to the incidence of complications and therapeutic effect.Results Clinical follow-up took place at 1 week, 3months, 6 months, 12 months and 24 months post procedure. At 1week and 3 months, patency rate and（ankle brachial index ABI） in observe group were higher than those in control group, but with no statistically significant difference（P〉0.05）, while patency rate and ABI in control group reached statistical significance difference after 6 months（P〈0.05）. There were no statistically significant difference between the 2 groups in terms of complications except for main adverse cardiovascular and cerebrovascular events.Conclusion For patients with TASC II C, D femoropopliteal arterial occlusive lesions, open surgery can obviously increase the intermediate and long-term patency rate and ABI than endovascular interventional therapy.