CAJ | 학술논문

目的:探讨杂交手术治疗多节段下肢动脉硬化的方法及疗效.方法:146例下肢多节段动脉硬化闭塞症患者,根据病变部位及闭塞程度,采用传统外科手术治疗及杂交手术(血管腔内介入加内膜剥脱或取栓术及血管腔内治疗加人工血管旁路术)治疗,了解两种治疗方法的疗效.结果:杂交治疗组在手术成功率、术后并发症、踝肱指数及通畅率等方面与传统外科手术组相比,差异有统计学意义(P<0.05).结论:杂交手术治疗下肢多动脉硬化闭塞症,根据病变部位及程度,采用个体化治疗,手术并发症少,术后畅通率高.
목적:탐토잡교수술치료다절단하지동맥경화적방법급료효.방법:146례하지다절단동맥경화폐새증환자,근거병변부위급폐새정도,채용전통외과수술치료급잡교수술(혈관강내개입가내막박탈혹취전술급혈관강내치료가인공혈관방로술)치료,료해량충치료방법적료효.결과:잡교치료조재수술성공솔、술후병발증、과굉지수급통창솔등방면여전통외과수술조상비,차이유통계학의의(P<0.05).결론:잡교수술치료하지다동맥경화폐새증,근거병변부위급정도,채용개체화치료,수술병발증소,술후창통솔고.
Objective To discuss the clinical effect of Hybrid operation for the treatment of multifocal lesions in arteriosclerosis obliterans of the lower extremity. Methods One hundred and thirty-six cases were diagnosed as arteriosclerosis. According to the extensiveness of the arterial occlusion,revascularization was performed in following way-traditional surgery and hybrid operation(endovascular therapy combined with artery endarterectomy or embolectomy of Fogarty and endovascular therapy combined with artificial graft bypass operation). Results Compared to traditional surgery group,hybrid operation group showed significantly in the success rate of surgery, postoperative complications, ankle-brachial index and patency rates. Conclusion: According to the patient lesion locations and ranges,the choice of hybrid operation can accomplish less surgical complications and a higher patency.