CAJ | 학술논문

目的：探讨杂交手术治疗复杂的多节段下肢动脉硬化闭塞症的临床效果。方法2008年1月至2013年4月，采用杂交手术（髂动脉支架植入联合股深动脉成形或股动脉-腘动脉人工血管旁路移植术）治疗下肢多节段动脉硬化闭塞治疗34例。34条患肢行髂动脉球囊扩张和支架植入术，其中21条患肢联合行股深动脉成形术，13条患肢联合行股-腘动脉旁路术。结果手术均获成功，无严重并发症，平均随访12个月（3～24个月）术后踝肱指数0.73与术前0.26相比显著提高（P<0.05）。结论杂交技术治疗复杂的多节段下肢动脉硬化闭塞症是一种安全有效的治疗方法。
목적：탐토잡교수술치료복잡적다절단하지동맥경화폐새증적림상효과。방법2008년1월지2013년4월，채용잡교수술（가동맥지가식입연합고심동맥성형혹고동맥-객동맥인공혈관방로이식술）치료하지다절단동맥경화폐새치료34례。34조환지행가동맥구낭확장화지가식입술，기중21조환지연합행고심동맥성형술，13조환지연합행고-객동맥방로술。결과수술균획성공，무엄중병발증，평균수방12개월（3～24개월）술후과굉지수0.73여술전0.26상비현저제고（P<0.05）。결론잡교기술치료복잡적다절단하지동맥경화폐새증시일충안전유효적치료방법。
Objective to study the treatment of hybrid operatiaon with multilevel atherosclerotic occlusive disease of the lower extremity. Methods from January 2008 to april 2013, hybrid operatiaon(intraoperative iliac Balloon angioplasty and stenting combined with vascular bypass and profundoplasty )were performed on 34 limb, suffering from lower extremity multilevel athcrosclcrotic occlusive disease. in 34 limbs iliac balloon angioplasty and stent placement were performed with profundoplasty in 21 limbs and femoro-popliteal bypass in 13 limbs. Results surgical procedures were technically successful in all limbs. there were no severe postoperative morbidity or mortality. Before-operative vs postoperative aBi was 0.26 vs 0.73 (P<0.05). the mean following-up period was 12months(range of 3 to 24 months). Conclusions Hybrid operatiaon are effective in the treatment of patients with multilevel atherosclerotic occlusive disease of the lower extremity.