Observation on the effect of hybrid surgery in the treatment of type D arteriosclerotic occlusion of lower extremity by Trans-Atlantic Cooperative Organization / 中国基层医药

ABSTRACT

Objective To explore the effect of hybrid surgery in the treatment of TASC (Trans －Atlantic Cooperation Organization consensus)type D lower limb arteriosclerosis occlusion,thus to provide guidance for clinic. Methods From January 2014 to January 2017,60 patients with TASC type D lower limb arteriosclerosis occlusion syndrome in the People's Hospital of Lishui were selected.All 60 cases received hybridization surgical treatment,and the clinical data of 60 cases were analyzed retrospectively.The patients were followed up for six months,the curative effect was observed.Results After treatment,the ankle brachial index (ABI)[(0.82 ±0.38)],intermittent claudi-cation distance[(532.24 ±42.78)m]of 60 patients were significantly increased compared with those before treat-ment[(0.32 ±0.20),(159.78 ±12.61)m][t(ABI)＝9.019,t(intermittentclaudicationdistance)＝64.687,all P＜0.05].The Fontaine classification after treatment was significantly better than that before treatment (P＜0.05 ).The vascular patency rate of grade Ⅱ(96.00%)was significantly higher than grade Ⅲ(81.92%)and grade Ⅳ(77.78%) (χ2＝9.265,P＜0.05),but the vascular patency rate between grade Ⅲ and grade Ⅳ had no statistically significant difference (P＞0.05 ).The incidence rate of complications among grade Ⅱ,grade Ⅲ and grade Ⅳ group had no statistically significant difference(χ2＝0.659,P＞0.05).Conclusion Hybrid surgery in the treatment of TASC type D lower limb arteriosclerosis occlusion has remarkable curative effect,especially suitable for treatment of high risk patients.