中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

下肢动脉硬化闭塞症腔内治疗

赵纪春，杨    轶   

  1. 四川大学华西医院血管外科，四川成都 610041
  • 出版日期:2016-12-01 发布日期:2016-12-01

  • Online:2016-12-01 Published:2016-12-01

摘要：

下肢动脉硬化闭塞症（ASO）是一种主要由动脉粥样硬化引起的疾病，发病率、病死率较高，严重影响病人生活质量。根据下肢ASO病人病情严重度及病变部位而制定的Fontain、Rutherford分期及TASCⅡ分级标准在临床治疗方案决策及预后估计中起到重要作用。下肢ASO病人的治疗方案根据病变解剖位置的不同而有所不同，同时也受到病人合并症以及手术医师水平的限制。目前下肢ASO的手术治疗以血管重建为主，其中腔内手术为大多数病人首选治疗方案。

关键词: 动脉硬化闭塞症, 血管重建, 腔内治疗

Abstract:

Endovascular therapy for arteriosclerosis obliterans                  ZHAO Ji-chun,YANG Yi. Department of Vascular Surgery,West China Hospital,Sichuan University,Chengdu 610041,China
Corresponding author：ZHAO Ji-chun, E-mail：zhaojc3@126.com
Abstract    Arteriosclerosis obliterans is a disease caused by atherosclerosis，which result in high risk of morbidity and mortality and seriously affects the quality of life of patients. According to the severity and location of ASO patients, the Fontain, Rutherford staging and TASC II grading standards play an important role in the decision making and prognosis estimation of the clinical treatment plan. The treatment options for patients with ASO are different depending on the anatomic location of the lesion, as well as the patient's complications. At present, surgical treatment of ASO is mainly based on revascularization, endovascular interventions of which is the first choice for most patients.

Key words: arteriosclerosis obliterans, revascularization, endovascular interventions