主髂动脉硬化闭塞症的手术治疗

报道了48例主髂动脉闭塞症病人的手术治疗结果。行人造血管搭桥转流术31例，其中有8例同时行球囊导管扩张、动脉内膜剥成形或取栓术；导管动脉取栓扩张5例；动脉内膜剥脱、取栓3例；血管腔内支架置放9例。临床症状消失或好转42例，随访0.5-9年人造血血管通畅率90%。多普勒血流仪节段性测压踝/肱指数（ABI）对临床诊断、治疗和预后均有较高的价值，当ABI小于0.5时，应及时手术，挽救肢体，在确定治疗方案时，应根据病变部、分布和严重程度，施行不同的手术方法才能提高血管通畅率，得到良好的疗效。

Operative Procedure for Aortoiliac Occlusive Disease

The authors report 48 patients with aortoiliac occlusive disease, who were treated with a variety of surgical procedures, including aortofemoral bypass,axillofemoral bypass, femorofemoral bypass,balloon angioplasty, endovascular stents, endarterectomy and thrombectomy. 42 patients recovered or improved. The follow_up ranged from 0.5 to 9 years. The graft patent rate was 90%. ABI of segmental limb Doppler pressure measurement is valuable in the diagnosis, treatment and prognosis. Operations should be performed on the patients when ABI is below 0.5. Various operative approaches and methods of revascularization are used ussoptip to different clinical circumstances. A favorable outcome may be anticipated, with proper patient selection and a carefully performed, appropriate operative procedure.