Clinical Analysis of Auto Large Crypto Venous Bypass Bypass in the Treatment of Lower Limb Arteriosclerosis Occlusion
自体大隐静脉旁路转流术治疗下肢动脉硬化闭塞症临床分析

摘要

目的：观察分析下肢动脉硬化闭塞症患者经自体大隐静脉旁路转流术治疗的临床效果。方法：于2019年03月~2021年03月对本院接入的58例下肢动脉硬化闭塞症患者作为课题对象，将之分组干预，其中常规组29例经皮腔内血管成形术，研究组29例自体大隐静脉旁路转流术。结果：研究组手术疗效与常规组无差异(P>0.05)；研究组与常规组出院时ABI(踝肱指数)、VAS疼痛评分均优于术前(P<0.05)，但是两组结果并无差异(P>0.05)。术后动态随访观察12个月，虽然研究组ABI指数、VAS疼痛评分更优，但两组结果并无差异(P>0.05)。结论：不论是经皮腔内血管成形术，还是自体大隐静脉旁路转流术，都能够有效治疗下肢动脉硬化闭塞症，建议临床根据患者实际病情、操作者实践经验以及医疗条件选取最适合患者的手术方式。

Abstract

Objective:To observe and analyze the clinical effect of autologous saphenous vein bypass bypass in patients with lower extremity arteriosclerosis obliterans.
Methods:From March 2019 to March 2021,58 patients with arteriosclerosis obliterans of lower extremity were treated as subjects,including 29 cases of intradermal angioplasty in routine group and 29 cases of autologous saphenous vein bypass in study group.
Results:There was no difference between the study group and the conventional group(P>0.0 5);The scores of ABI(ankle brachial index and VAS pain in the study group and the routine group were better than those before operation(P<0.05),But there was no difference between the two groups(P>0.05).Postoperative dynamic follow-up was observed for 12 months.Although the study group ABI index and VAS pain score were better,there was no difference between the two groups(P>0.05).
Conclusion  :Both percutaneous transluminal angioplasty and autogenous saphenous vein bypass bypass can effectively treat arteriosclerosis obliterans of lower extremities.It is suggested that the most suitable operation method should be selected according to the actual condition of the patient,the practical experience of the operator and the medical conditions.