Limb Survival Rate after Bypass Surgery for Peripheral Arterial Occlusive Disease

周邊動脈阻塞疾病經繞道手術後之肢體存活率

洪維志(Wei-Chin Hung) ； 鄭舉緒(Chu-Hsu Jeng) ； 趙洪興(Hung-Hsing Chao) ； 林煌基(Hwang-Chi Lin) ； 張益誠(Yi-Chen Chang) ； 洪欣瑜(Hsin-Yu Hung) ； 謝承翰(Cheng-Han Hsieh) ； 楊菘宇(Sung-Yu Yang)

《中華民國整形外科醫學會雜誌》 17卷3期 (2008/09) Pp. 249-255

https://doi.org/10.7096/JPSA.200809.0249

摘要

背景：保留肢體是周邊動脈阻塞疾病(PAOD)治療的最初目標，特別是針對那些嚴重肢體缺血的病患。
目的：此研究是為了評估股膕繞道手術(F-P bypass)術後的肢體存活率，且進一步探討各項危險因素對手術結果可能的影響。
材料和方法：我們回顧本院由1992年5月到2007年2月中，36位接受股膕繞道手術的周邊動脈阻塞疾病之病患其後續追蹤及相關資料。
結果：在我們的病患中，與術後下肢存活率有關的危險因子有年齡、腎臟疾病、冠狀動脈疾病、高血脂症以及術前周邊動脈阻塞疾病的嚴重程度。
結論：有上述危險因子的病患，在股膕繞道手術後的下肢存活率較低。
此報告可以提供給血管外科醫師對周邊動脈阻塞疾病病患說明血管重塑手術後可能的長期結果，並且可用來評估病患接受此手術的優缺點。

並列摘要

Background: Limb salvage is considered the primary goal of management of peripheral arterial occlusive disease (PAOD), especially in patients with critical limb ischemia.
Purpose: This study was undertaken to evaluate the limb survival rate after femoropopliteal bypass (F-P bypass) surgery, and to determine risk factors affecting the outcome of surgery.
Materials and Methods: In our hospital, 36 PAOD patients underwent F-P bypass surgery from May 1992 to February 2007. The records of these patients were reviewed.
Results: In our patients, age, renal disease, coronary artery disease, hyperlipidemia, and advanced stage of PAOD before surgery were associated with a lower limb survival rate after revascularization procedures.
Conclusions: Patients with risk factors, including age, renal disease, coronary artery disease, hyperlipidemia, and advanced stage of PAOD, had lower limb survival and amputation-free limb survival rates after F-P bypass surgery. With regard to the outcomes reported here, vascular surgeons should explain the long-term outcome of revascularization procedures and evaluate the benefits and disadvantages of the surgery in patients with PAOD.

並列關鍵字

femoropopliteal bypass ； limb survival rates ； peripheral arterial occlusive disease ； revascularization