动脉硬化闭塞症下肢缺血26例临床分析

目的：探讨动脉硬化闭塞症（Arteriosclerosis obliterance，ASO）下肢缺血的诊治经验。方法：回顾1996年11月-2001年12月26例ASO病人的诊断和治疗方法，并进行分析。动脉重建术12例次，截肢4例次，药物保守治疗10例。结果：26例病人中死亡2例（7.7%），截肢4例（15.4%），术后随访平均2.6年（3个月-5年）。转流术后人造血管发生栓塞3例（25%），通畅率9例（75%），肢体供血明显改善，提高了患者生存质量。结论：早期诊断和早期治疗是提高ASO救肢的关键，动脉重建术是较好的治疗方法。

Arterilsclerotic Obliterance in Lower Extremities in Twenty-six Cases

Objective:To evaluate the surgical treatment of arteriosclerosis obliterans in lower extremities.Methods:26 patients with arteriosclerosis obliterans in the lower extremities were admitted from 1996 to 2000,of which 12 were treated by bypass procedures,4 by amputation,and 10 with drug.Results:The postoperative mortality and amputation rate were 7.7% and 15.4% respectively.The duration of flowing was 3M 5 years,arterial re constructive rate was 75%, and thrombosis was 25%.Conclusion:It is an effective therapy to perform arterial reconstruction for lower extremity arterial occlusion. It is important to diagnose and treat earlier.