综述第37卷第8期医学信息Vol.37No.82024年4月JournalofMedicalInformationApr.2024基金项目:银川市2021年健康银川建设项目(编号:JKYC-KJ2021-016)作者简介:柳宝通(1997.10-),男,甘肃平凉人,硕士研究生,主要从事周围血管外科的研究通讯作者:闫波(1961.11-),男,宁夏银川人,硕士,主任医师,教授,主要从事周围血管外科的研究股深动脉成形术在重度下肢缺血中的作用研究柳宝通袁闫波渊宁夏医科大学第二临床医学院袁宁夏银川750001冤摘要院重度下肢缺血是外周动脉疾病发展的严重阶段袁临床症状严重袁具有高致残率尧高死亡率的特点袁影响患者生命健康遥当重度下肢缺血患者的股浅动脉长段闭塞且无法开通时袁此时可选择股深动脉成形术进行治疗遥本文就重度下肢缺血的临床症状尧分级标准尧治疗方法尧最新研究进展及股深动脉成形术的解剖基础尧手术方式作一综述遥关键词院重度下肢缺血曰股深动脉成形术曰股浅动脉中图分类号院R543.5文献标识码院ADOI院10.3969/j.issn.1006-1959.2024.08.036文章编号院1006-1959渊2024冤08-0167-06StudyontheEffectofDeepFemoralArteryAngioplastyinSevereLowerLimbIschemiaLIUBao-tong,YANBo(DepartmentofVascularSurgery,theSecondAffiliatedHospitalofNingxiaMedicalUniversity,Yinchuan750001,Ningxia,China)Abstract:Criticallimbischemiaisaseriousstageinthedevelopmentofperipheralarterialdisease.Theclinicalsymptomsareserious,andithasthecharacteristicsofhighdisabilityrateandhighmortality,whichaffectsthelifeandhealthofpatients.Whenthelongsegmentofsuperficialfemoralarteryinpatientswithseverelowerlimbischemiaisoccludedandcannotbeopened,deepfemoralarteryangioplastycanbeselectedfortreatment.Thisarticlereviewstheclinicalsymptoms,gradingstandards,treatmentmethods,latestresearchprogressofcriticallimbischemia,andtheanatomicalbasisandsurgicalmethodsofdeepfemoralarteryangioplasty.Keywords:Criticallimbischemia;Deepfemoralarteryangioplasty;Superficialfemoralartery重度下肢缺血(criticallimbischemia,CLI)是血管外科常见病,常由下肢动脉硬化性闭塞症、血栓闭塞性脉管炎及糖尿病引起。该病最常见病因为动脉粥样硬化,其引起血管壁各层之间脂质与纤维物质的积聚,致使下肢动脉管腔局灶性或弥漫性狭窄,严重时导致管腔闭塞,出现缺血性症状。当髂股动脉或...