浅谈旁路移植术和腔内技术治疗严重下肢动脉闭塞性疾病

Evaluation between bypass surgery and endovascular therapy to peripheral arterial disease patients with critical limb ischemia

下肢动脉旁路移植术（ BSX）和下肢动脉腔内治疗（ EVT）是目前治疗严重下肢动脉闭塞症的核心治疗手段。 EVT在减少手术创伤、降低早期术后并发症、缩短住院时间等方面具有潜在优势；BSX在降低患者中远期病死率、提高远期通畅率方面明显优于EVT。合理把握适应证，选择个体化的治疗方案，避免腔内治疗的“滥用”，对下肢动脉闭塞症的患者更为有意义。

Bypass surgery （ BSX ） and endovascular therapy （ EVT ） are the most important therapeutic method to critical limb ischemia？EVT has potential advantages in reducing surgical trauma and early postoperative complications, shortening hospital stay and so on？ Concerning long？term results, BSX is better in reducing long？term mortality and improving long？term patency than EVT group？ Therefore, control indications reasonably and select individualized methods, avoid the abuse of EVT are more meaningful for patients.