动脉硬化闭塞症下肢缺血26例临床分析

Arterilsclerotic Obliterance in Lower Extremities in Twenty-six Cases

目的 :探讨动脉硬化闭塞症 (Arteriosclerosisobliterance ,ASO)下肢缺血的诊治经验。方法 :回顾 1996年 11月～ 2 0 0 1年 12月 2 6例ASO病人的诊断和治疗方法 ,并进行分析。动脉重建术 12例次 ,截肢 4例次 ,药物保守治疗10例。结果 :2 6例病人中死亡 2例 (7.7% ) ,截肢 4例 (15 .4% ) ,术后随访平均 2 .6年 (3个月～ 5年 )。转流术后人造血管发生栓塞 3例 (2 5 % ) ,通畅率 9例 (75 % ) ,肢体供血明显改善 ,提高了患者生存质量。结论 :早期诊断和早期治疗是提高ASO救肢的关键 ,动脉重建术仍然是较好的治疗方法。

Objective:To evaluate the surgical treatment of arteriosclerosis obliterans in lower extremities.Methods:26 patients with arteriosclerosis obliterans in the lower extremities were admitted from 1996 to 2000,of which 12 were treated by bypass procedures,4 by amputation,and 10 with drug.Results:The postoperative mortality and amputation rate were 7.7% and 15.4% respectively.The duration of flowing was 3M 5 years,arterial re constructive rate was 75%, and thrombosis was 25%.Conclusion:It is an effective therapy to perform arterial reconstruction for lower extremity arterial occlusion. It is important to diagnose and treat earlier.