【摘要】 目的总结股深动脉血流重建治疗下肢动脉硬化闭塞症的经验。方法选择FontaineⅢ、Ⅳ期下肢动脉硬化闭塞症患者24例,采用旁路术、取栓术及股深动脉成形术重建股深动脉血流。结果15例FontaineⅢ期患者于术后肢体静息痛消失;9例FontaineⅣ期患者中术后肢体静息痛消失7例,减轻1例,无效1例;无效者于术后1周行膝上截肢术,6例足坏死者于术后10天行截足(趾)术。22例患者得到随访,随访时间2个月-6年。移植血管3年通畅率为82%。结论股深动脉血流重建治疗严重肢体缺血具有简单、安全、有效的优点,适合年老体弱不能耐受复杂手术以及膝上无理想的用于旁路术的流出道者。更多还原

【Abstract】 Objective To summarize the experience of profunda femoris revascularization for arteriosclerosis of lower extremity. Methods Twenty-four patients with arteriosclerosis obliterans of lower extremity (stage Ⅲ and Ⅳ in Fontaine’s classification) underwent profunda femoris revascularization (bypass graft, embolectomy, profundaplasty). Results Rest pain resolved in the all of patients with stage Ⅲ disease and seven of nine with stage Ⅳ disease after the operation. Six of the patients with gangrene underwent minor amputations and one above knee amputation. Twenty-two patients of them were followed-up period ranged from 2 months to 6 years. The patency rate of grafts was 82% within 3 years. Conclusion The method of profunda femoris revascularization is simple, safe and effective for critical limb ischemia.更多还原