髂-颈动脉旁路术治疗头臂型大动脉炎8例报告

Iliac-carotid arterial bypass for brachiocephalic arteritis:8 report of 8 cases

目的 探讨左髂动脉 -左颈动脉旁路术治疗头臂型大动脉炎这一新方法的治疗效果。方法 2 0 0 1年 6月至 2 0 0 2年 7月 ,对 8例头臂型大动脉炎病人 ,通过左髂动脉 -左颈动脉聚四氟乙烯 (PTFE)人造血管旁路术治疗颈动脉闭塞所致的脑缺血症状。结果 8例病人在平均 8 7个月 ( 3～ 16个月 )的随访期内 ,7例人造血管保持通畅 ,脑缺血症状明显好转。结论 对于头臂型大动脉炎病人 ,髂动脉 -颈动脉解剖外动脉旁路术是一种简单、安全、可靠的手术方式 ,为该病提供了一种新的治疗手段。

Objective To put forward our new surgical technique and investigate the effect on treatment of brachiocephalic arteritis by left iliac-left carotid arterial bypass. Methods From June 2001 to July 2002,8 patients with brachiocephalic arteritis received left iliac-left carotid arterial bypass with PTFE graft.Results Seven patients had good results and the graft was patent in an average 8.7 months' follow-up time.Conclusion Iliac-carotid arterial extra-anatomic bypass is a new,safe and simple surgical technique with excellent results for treatment of brachiocephalic arteritis.