引用本文:白云清,亓 明,沈忠义,胡 祥.远端动脉旁路术治疗重症下肢缺血[J].大连医科大学学报,2008,30(2):146-148.
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远端动脉旁路术治疗重症下肢缺血
白云清, 亓 明, 沈忠义, 胡 祥
大连医科大学 附属第一医院 普外科,辽宁 大连 116011
摘要:
[目的]探讨远端动脉旁路术在治疗重症下肢缺血中的作用。[方法] 回顾性分析了2003年1月~2007年3月应用远端动脉旁路术治疗的36例重症下肢缺血病人。[结果]36例中33例(91.7%)术后患肢静息痛消失,皮肤温度、颜色明显改善,踝肱指数均值由术前0.12±0.15升为术后0.87±0.21,两者之间差异有统计学意义(P<0.001)。术后随访31例,随访时间1~3年(平均2年),术后1、2、3年移植血管的一期累计通畅率分别为85%、72%、70%,二期累计通畅率分别为87%、73%、72%。[结论]远端动脉旁路术是治疗重症下肢缺血,挽救患者肢体的有效方法之一。
关键词:  血管疾病  局部缺血  血管外科手术
DOI:10.11724/jdmu.2008.02.16
分类号:R61
基金项目:
Distal arterial bypass for treatment of critical lower limb ischemia
BAI Yun-qing, QI Ming, SHENG Zhong-yi, HU Xiang
Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract:
[Objective]To assess the clinical effects of distal arterial bypass for the treatment of critical lower limb ischemia.[Methods]We retrospectively analyzed 36 patients with critical lower limb ischemia, for which distal arterial bypass was performed from January, 2003 to March, 2007.[Results]In 33 cases (91.7%) symptoms were relieved, with resting pain disappeared and skin temperature improved. Ankle brachial index (ABI) increased significantly from 0.12±0.15 to 0.87±0.21 perioperatively (P< 0.001). Postoperatively, 31 cases were followed up for 1 year to 3 years. The primary graft patency rates in this series were 85%, 72% and 70% in 1 year, 2 years and 3 years, respectively. The secondary graft patency rates were 87%, 73% and 72% in 1 year, 2 years and 3 years, respectively.[Conclusion]The distal arterial bypass is one of the effective methods for the treatment of critical lower extremity ischemia and the salvage of the limbs.
Key words:  vascular diseases  ischemia  vascular surgical procedures