摘要
Abstract
Objective To compare the mid-term patency rate and limb salvage rate in chronic aortoiliac artery occlusion patients treated with interventional surgery or traditional surgery,and analyze the feasibility and indications of interventional therapy for chronic main iliac artery occlusion.Methods Patients with chronic main iliac artery occlusion (n=78) were divided into intervention group and traditional surgery control group.The preoperative risk factors,complications,ankle brachial index,and the rate of mid-term patency,limb salvage,and survival in the two groups were compared.Results The ankle brachial index in two groups was no diffidence (0.90±0.21 vs 0.87±0.28,P ＞ 0.05).The hospitalized length of The intervention group was shorted than that of the control group (10.51±1.32 vs 18.22±3.21,P ＜ 0.05).The rate od multiple organ failure occurrence was decreased than that of the control group (10.26％ vs 0,P ＜ 0.05).After 1 and 3 years,the primary patency rate of the two groups was no difference (97.44％ vs 94.87％,89.74％ vs 92.3％,P ＞ 0.05).The primary patency rate of the intervention group was lower than that in the control group in the 5 year after operation (64.1％ vs87.1％,P ＜ 0.05).After 1,3,and 5 years,there was no significant difference in the rate of secondary patency,limb salvage,and survival between the two groups (P ＞ 0.05).Conclusion The interventional surgical treatment of chronic iliac arterial occlusive disease in the postoperative survival rate,limb salvage rate,and secondary patency rate,had not significant effects than traditional surgery,but the primary patency rate is still lower than that in traditional surgical treatment.For patients with chronic main iliac artery occlusion who can tolerate open surgery,traditional surgical treatment is still the best choice.关键词
介入手术/动脉闭塞症/中期血管通畅率/保肢率Key words
Interventional procedures/arterial occlusion/mid-term patency rate/limb salvage rate分类
医药卫生
