CAJ | 학술논문

目的：探讨杂交手术对下肢动脉硬化闭塞症并血栓形成的疗效。方法回顾我科2005年-2010年26例下肢动脉硬化闭塞症并血栓形成患者行杂交手术治疗，全部股动脉切开取栓，其中球囊扩张者11例，支架置入者15例。结果26例患者术后肢体麻木症状减轻，发凉、疼痛症状缓解，跛行消失或跛行距离延长，ABI平均提高至0.98±0.13；出院后随访2-7年，其中死亡6例，糖尿病膝下动脉硬化闭塞1例，支架内动脉内膜增生血管狭窄2例。结论杂交手术是治疗下肢动脉硬化闭塞症并血栓形成的有效方法，严格把握手术适应症和合理选择手术方式是治疗的关键。
목적：탐토잡교수술대하지동맥경화폐새증병혈전형성적료효。방법회고아과2005년-2010년26례하지동맥경화폐새증병혈전형성환자행잡교수술치료，전부고동맥절개취전，기중구낭확장자11례，지가치입자15례。결과26례환자술후지체마목증상감경，발량、동통증상완해，파행소실혹파행거리연장，ABI평균제고지0.98±0.13；출원후수방2-7년，기중사망6례，당뇨병슬하동맥경화폐새1례，지가내동맥내막증생혈관협착2례。결론잡교수술시치료하지동맥경화폐새증병혈전형성적유효방법，엄격파악수술괄응증화합리선택수술방식시치료적관건。
Objective To investigate the hybrid operation for arteriosclerosis obliterans and thrombosis treatment. Methods Retrospective our department in 2005-2010 26 cases of arteriosclerosis obliterans and thrombosis underwent surgical treatment of hybrids and all femoral artery incision embolectomy, in which 11 cases of balloon dilation, stent placement in 15 cases. Results Symptoms such as numbness, coldeness, pain, limp of the 26 patients have been relieved after operation, ABI has been increased to 0.98±0.13. The patients were followed up 2-7 years, 6 of them dead, 1 of them arteriosclerosis obliterans, 2 of them in-stent stenosis. Conclusion Surgery is the treatment of hybrid arteriosclerosis obliterans and effective way of thrombosis. Strictly control surgical indications and rational choice of surgical approach is the key to treatment.