天津医药

• 临床论丛 •    

股-腘人工血管旁路术后重度狭窄或闭塞相关因素的探讨

黄俊杰1,栗力2   

  1. 1. 天津市天和医院
    2. 天津市人民医院
  • 收稿日期:2011-04-02 修回日期:2011-06-13 出版日期:2012-01-15 发布日期:2012-01-15
  • 通讯作者: 黄俊杰

Explore the Relative Factors of Restenosis and Occlusion After Artificially Grafting Femoropopliteal Bypass

2   

  • Received:2011-04-02 Revised:2011-06-13 Published:2012-01-15 Online:2012-01-15

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摘要： 摘要 目的：探讨人工血管旁路术后不同时期重度狭窄闭塞与术前相关因素的关系。 方法：回顾性分析人民医院2006年3月至2008年3月间外周动脉硬化性闭塞症（peripheral artery occlusive disease, PAOD）患者115例。根据术后不同时间人工血管通畅情况分为2组，分析2组间伴随疾病及术前流出道情况。 结果：术后24个月时，2组患者伴随疾病比较中，糖尿病患者在闭塞组中比例明显增多为57.1%，P值<0.05具有统计学意义；术前流出道比较，闭塞组患者术前膝下仅有一支动脉未见重度狭窄与闭塞的比例为38%，明显高于通畅组19.2%，且P<0.05具有统计学意义。 结论：糖尿病、术前膝下流出道仅有1支通畅可能是术后人工血管远期闭塞的危险因素。

关键词: 动脉闭塞性疾病, 移植物闭塞, 血管, 糖尿病, 流出道

Abstract: Abstract Objective: To explore the relative factors of restenosis and occlusion after artificially grafting femoropopliteal bypass on chronic ischemia of low extremities in different postoperation time. Methods: A total of selected 115 cases with peripheral artery occlusive disease(PAOD), who were treated in our hospital from Mar. 2006 to Mar. 2008, were divided into occlusive group and patent group according to their grafting patency in different postoperation time. Complications and run-off way were evaluated. Results: Diabetes mellitus were significantly higher in the occlusive group at 24 months(57.1%, P<0.05). The rates of the patients who had only one run-off artery which wasn’t serious stenosis or occlusive were 38% in occlusive group and were 19.2% in patent group at 24 months. There were significant difference between 2 groups(P<0.05). Conclusion: Diabetes mellitus and only one run-off artery which wasn’t serious stenosis or occlusive maybe the major high risk factors that lead to long-term artificial graft obliteration．

Key words: arteial occlusive disease, Graft occlusion, vascular, diabetes mellitus, run-off artery