中国普通外科杂志2016，Vol.25Issue(6)：853-858,6.
TASC C/D型主髂动脉硬化闭塞症的杂交手术治疗
Hybrid therapy for TASC C/D aortoiliac arteriosclerosis obliterans
摘要
Abstract
Objective:To evaluate the clinical effcacy of hybrid therapy for TASC C/D aortoiliac arteriosclerosis obliterans. Methods:hTe clinical data of 48 patients (66 limbs) with TASC C/D (including TASC C in 22 cases and TASC D in 26 cases) aortoiliac arteriosclerosis occlusive diseases undergoing hybrid revascularization procedures from May 2012 to May 2014 were analyzed. hTe perioperative conditions were evaluated, the revascularization results among patients with different Fontaine classiifcations were compared, and the inlfuential factors for primary patency were analyzed. Results:hTe hybrid procedures were successfully performed in all 48 patients (66 limbs), and technical success rate was 100%. One patient underwent amputation on postoperative day 5 due to severe gangrene and infection of the lower limb, but no death occurred and the incidence of perioperative complications was 16.67%. The postoperative distance of intermittent claudication (568 m vs. 92 m) and ankle-brachial index (0.75 vs. 0.25) were signiifcantly higher than those before operation (both P<0.05). hTe average period of follow-up was 24 months,the 6-month and 1-and 2-year primary patency rate was 95.45%, 90.91%and 87.88%, and secondary patency rate was 98.48%, 96.97%and 92.42%, respectively. hTe primary patency rate in patients with Fontaine stage II and III were signiifcantly higher than that in patients with Fontaine stage IV (P=0.036, 0.015), which however had no statistical difference between patients with Fontaine stage II and III (P>0.05). hTe presence of diabetes and dyslipidaemia were independent risk factors for decreased primary patency (P=0.026, 0.003). Conclusion:Hybrid therapy is a safe and effective treatment for TASC C/D aortoiliac arteriosclerosis obliterans.关键词
动脉闭塞性疾病/髂动脉/主动脉,腹/杂交手术Key words
Arterial Occlusive Diseases/Iliac Artery/Aorta, Abdominal/Hybrid Procedures分类
医药卫生引用本文复制引用
刘俊超,王兵,王广华,牛晓阳,孙利坤,刘晓哲..TASC C/D型主髂动脉硬化闭塞症的杂交手术治疗[J].中国普通外科杂志,2016,25(6):853-858,6.基金项目
河南省医学科技攻关计划重点资助项目（201202015）。 （）
