PHẪU THUẬT câu nối CHỦ đùi TRONG điều TRỊ tắc ĐỘNG MẠCH CHỦ CHẬU mạn TÍNH

PHU THUT CU NI CH U TR TNG MCH CH
CHU MN TÍNH

Phan Quốc Hùng, Phạm Minh Ánh, Nguyễn Đình Long Hải
Khoa Phu thut Lng ngc - Mch máu, Bnh vin Ch Ry


Mục tiêu: - 

Phương pháp: 
-

-
dáu 
Kết quả: 


--

 --

Kết luận: - 

SUMMARY
AORTOFEMORAL GRAFTING BYPASS IN TREATMENT OF CHRONIC
AORTOILIAC OCCLUSION
Objective: evaluate the early outcome of aortofemoral grafting bypass in chronic aortoiliac
occlusion (CAO) treatment.
Method: From July, 2010 to January, 2011 ten patients CAO were operated at Choray
hospital. They were included in prospective study and underwent aortofemoral reconstruction

with graft implantation. Symptoms before and after surgery, location and extent of arterial
occlusion, operation method, mortality, morbidity, ABI before and after surgery were examined.
Postoperative CTA was indicated for evaluating graft patency.
Results: There were 7 males, 3 females, mean age 53,9 years. Life-limiting claudication was
present in 8 patients, 2 patients had leg ulcer or gangrene. 10 patients CAO consist of type I: 2,
type II: 4, type III: 4. Juxtarenal aortic occlusion: 2, 1 renal artery (RA) stenosis, 1 superior
mesenteric artery (SMA) stenosis.
Aortofemoral bypass: 8/10 cases, aortoiliac bypass: 2/10, 1 RA reconstruction, 1 SMA
reconstruction. No postoperative mortality, complications occurred in 3 patients: acute renal
failure and haemorrhage: 1 case, graft thrombosis: 2 cases.
ABI before surgery: 0.50+/-0.19, after surgery: 0.98+/-0.34. Postoperative CTA: 9 patent
graft, 1 occluded graft.
Conclusion: aortofemoral grafting reconstruction had an excellent symptomatic relief in
CAO treatment.



2
 t 
 
8].


 
- 
 85-90% [1
- - - 
- 8].
Nhìn c


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- 
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- 
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- 
- - 

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- 
 hân.
 
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- 
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 

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


2
u ngoài ( Nhóm II)
4

4

- - 






- 0.19 v- 0.34








h [4



    
Tapper [7

[4] là 73%.

5


-Stiff [3


- - 


-- - 
n- 
- 

8].
- 


3].





[69]

- -


          

-


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




1



Yves Alimi [10]
0.42+/-0.11
0.81+/-0.12
John Ligush [4]
0.32+/-0.15
0.88+/-0.15

P.Q.Hùng
0.50+/-0.19
0.98+/-0.34





    -  






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Blackwell, p499-521
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