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Hybrid procedure on revascularization of arteriosclerosis obliterans on lower extremity

LING Ping,XIAO Le,GONG Kun-mei,et al. (General Surgical Department,the First People′s Hospital of Yunnan Province, Kunhua Affiliated Hospital of Kunming Medical College,Kunming 650032,China)  
Objective To investigate the application of hybrid operation on revascularization of atherosclerosis obliterans(ASO).Methods Clinical data of 56 cases of multi-level lesion of ASO which received revascularization operation from January, 1998 to August,2009 were retrospectively analyzed,in which 13 cases undertaken surgical treatment,11 cases received intraluminal strategy,and 32 cases had hybrid operation.The implication,clinical effect,complication and perioperational mortality of these three strategies were investigated.Results There were 64.29% patients had been followed up within the time of 2~101 months.Hybrid procedure led to higher patency on multi-level lesion(62.50% vs 30.76% vs 27.27%,ANOVA analysis,F=54.17,P0.05).Meanwhile,its clinical effect was better than that of surgical and intraluminal procedure(efficiency was 56.25%,15.38% and 13.64% respectively,ANOVA analysis,F=58.46,P0.05;inefficiency was 12.5%,61.54% and 54.55% respectively,ANOVA analysis,F=54.23,P0.05).The complication incidence of hybrid operation was equal to that of intraluminal and was significantly lower than that of traditional operation(12.5% vs 38.46% vs 18.19%,ANOVA analysis,F=52.56,P0.05)。.The peri-operational mortality of surgical treatment was 7.69% and that of intraluminal and hybrid procedure also were 0%.Conclusion Hybrid procedure is superior to multi-level lesion of ASO.It can not be only capable of decreasing danger in anesthesia and operation,but also lead to satisfactory clinical effect and long term patency.
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