【摘要】 目的分析股深动脉血流重建治疗下肢动脉硬化闭塞症的临床效果。方法回顾性分析治疗于我院的38例下肢动脉硬化闭塞症患者的临床资料,所有患者均采用股深动脉血流重建的治疗方法。对比治疗前后踝/肱血压指数和间歇性跛行距离。结果所有患者治疗结束后患侧肢体温度较术前均有了显著的提高,肢体疼痛明显减轻或者消失。有患肢溃疡的患者于术后1月左右愈合。26例患者静息痛消失,10例好转,2例无效,于术后1周截肢治疗。出现坏疽的患者经截肢治疗后创面均愈合。随访患者半年,术后踝/肱指数平均为(0.58±0.15),间歇性跛行距离平均为(500.3±132.7)m,均明显高于治疗前,差异明显,P<0.05。结论股深动脉血流重建治疗下肢动脉硬化闭塞症具有显著的临床效果,患者术后间歇性跛行距离及踝/肱血压指数较治疗前显著提高,适合在此类患者中应用。更多还原

【Abstract】 【Objective】 To analyze the clinical effects of deep femoral artery blood flow reconstruction for the treatment of lower extremities arteriosclerosis obliterans.【Methods】 We made a retrospective analysis on the clinical data of 38 patients with lower extremities arteriosclerosis obliterans,all the patients were given deep femoral artery blood flow reconstruction.We made a comparison on ankle/brachial blood pressure index,intermittent claudication distance before and after the treatment.【Results】 The limb temperature of all patients had been significantly improved than before the surgery,the limb pain reduced or disappeared significantly.The patients with limbs ulcer can be healed in about 1 month after the surgery.The resting pain disappeared in 26 patients,10 cases were improved and 2 cases were invalid,the two cases were given amputation 1 week after the surgery.The patients with gangrene were treated with amputation and the wounds were healing.We made follow-up study on the patients for six months,the average ankle/brachial index was(0.58±0.15),the intermittent claudication distance was(500.3±132.7) meters,they were significantly higher than before the treatment,the differences were significant,P <0.05.【Conclusion】 The clinical effects of deep femoral artery blood flow reconstruction for the treatment of lower ex were increase prominently.It is suitable for this type of patients更多还原