CAJ | 학술논문

目的：探讨TASC II C、D型股腘动脉闭塞的治疗效果。方法：将TASC II C、D型股腘动脉闭塞性病变178例患者回顾性分为观察组82例（开放手术组）和对照组96例（腔内治疗组），对其疗效和并发症进行评估。结果：术后1周、3个月，观察组通畅率及踝肱指数（ABI）略高于对照组（P＞0.05)；术后6、12、24个月，观察组通畅率及ABI明显高于对照组(P＜0.05)；观察组心脑血管不良事发生率高于对照组(P＜0.01)。结论：TASC II C、D型股腘动脉慢性闭塞性病变，开放手术治疗后ABI改善情况及中远期通畅率高于腔内治疗组。
목적：탐토TASC II C、D형고객동맥폐새적치료효과。방법：장TASC II C、D형고객동맥폐새성병변178례환자회고성분위관찰조82례（개방수술조）화대조조96례（강내치료조），대기료효화병발증진행평고。결과：술후1주、3개월，관찰조통창솔급과굉지수（ABI）략고우대조조（P＞0.05)；술후6、12、24개월，관찰조통창솔급ABI명현고우대조조(P＜0.05)；관찰조심뇌혈관불량사발생솔고우대조조(P＜0.01)。결론：TASC II C、D형고객동맥만성폐새성병변，개방수술치료후ABI개선정황급중원기통창솔고우강내치료조。
Objective To evaluate the therapeutic method for patients with TASC II C, D femoropopliteal arterial occlusive lesions. Methods From March 2009 to March 2013, a total of 178 patients with TASC II C, D femoropopliteal arterial occlusive lesions, were divided into observe group and control group. Open surgery was performed in observe group(82 patients),endovascular interventional therapy was performed in control group (96 patients), The 2 groups were compared with re-spect to the incidence of complications and therapeu- tic effect. Results Clinical follow-up took place at 1 week, 3months, 6 months, 12 months and 24months post procedure. At 1week and 3 months, patency rate and (ankle brachial index ABI) in observe group were higher than those in control group, but with no statistically significant difference(P>0.05), while patency rate and ABI in control group reached statistical significance difference after 6 months(P<0.05). There were no statistically significant difference between the 2 groups in terms of complications except for main adverse cardiovascular and cerebrovascular events. Conclusion For patients with TASC II C, D femoropopliteal arterial occlusive le-sions, open surgery can obviously increase the intermediate and long-term patency rate and ABI than endovascu-lar interventional therapy.