主髂动脉闭塞症（AIOD）是周围动脉疾病的一种，主要表现为腹主动脉远端和/或髂总动脉、髂内动脉、髂外动脉的慢性狭窄或闭塞性改变。由于很多无症状患者，其人群发病率很难统计，据报道为4%~14%。70岁以上人群发病率为14%~20%，80岁以上发病率约为23%。AIOD的临床表现可从间歇性跛行、静息痛至组织坏死，合并髂内动脉闭塞者还可同时伴有阳痿。流出道通畅的单纯性主髂动脉病变的症状更多为间歇性跛行。据统计，约有1/4间歇性跛行患者症状可自行好转，另外1/4间歇性跛行患者症状将加重。开放治疗是过去治疗的金标准，而随着腔内技术的进步，微创介入治疗目前已占主导地位。本文将对目前各种治疗方法进行了综合评述。 Aorto-iliac occlusive disease(AIOD) is a type of peripheral arterial disease(PAD) characterized with chronic stenosis/occlusion of distal abdominal aorta, common iliac arteries, external iliac arteries or the combination of the above. It's prevalence, although is reported 4%-14%, is hard to calculate in general population because a great amount of patients are asymptomatic. Symptoms range from intermittent claudication(IC), rest pain to tissue loss. If internal iliac artery is involved, patients can develop ED. Symptoms can aggravate in 1/4 of IC patients and can alleviate in another 1/4 of IC patients. Open surgery used to be the "gold standard" for treatment, yet endovascular approach have taken the place and become the first line treatment for AIOD.
Abstract
Aorto-iliac occlusive disease(AIOD) is a type of peripheral arterial disease(PAD) characterized with chronic stenosis/occlusion of distal abdominal aorta, common iliac arteries, external iliac arteries or the combination of the above. It's prevalence, although is reported 4%-14%, is hard to calculate in general population because a great amount of patients are asymptomatic. Symptoms range from intermittent claudication(IC), rest pain to tissue loss. If internal iliac artery is involved, patients can develop ED. Symptoms can aggravate in 1/4 of IC patients and can alleviate in another 1/4 of IC patients. Open surgery used to be the "gold standard" for treatment, yet endovascular approach have taken the place and become the first line treatment for AIOD.
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