ĐÁNH GIÁ SỚM KẾT QUẢ ĐIỀU TRỊ BỆNH VIÊM TẮC ĐỘNG MẠCH MẠN TÍNH HAI CHI DUỚI BẰNG CẦU NỐI NGOÀI GIẢI PHẪU

Abstract

Subjects and methods: From 01/2009 to 12/2011, prospective study at Department of Thoracic and Cardiovascular Surgery of Hue Centre hospital, we have performed 64 patients in 52 males and 12 females from 32 to 91 ages, who were treated chronic occlusive arterial disease of lower extremity by bypass.
Objectives: Evaluate of early results in 6-12 months postoperatively.
Results: Majority of patients suffered from pains at rest or ischemic ulcers and necrosis, the stage of disease was stage IV (87.5%) according to Leriche –
Fontaine. All patients underwent Echo Doppler and angiography the leg which was obstructed and the major obstructive result in superficial femoral artery in 81.25%. And then we defined to do bypass surgery in which highest rate is femoral – popliteal artery bypass (62.5%), femoral – posterial tibial artery bypass surgery in 25%, femoral – anterial tibial artery and popliteal – calf artery bypass surgery in 6.25%.
During 6-12 postoperative months following up, the rate of graft failed was 18.75%. Complications of postoperative included hemorrhage in 12.5%, wound infection in 12.5% and severe complication was amputation after bypass surgery in 6.25%.
Conclusion: Most of the patients come to hospital was men at stage IV (ulcer, necrosis). So, the indication of bypass surgery was still limit. However, result of early bypass surgery has shown a good effect relatively.