目的　评价腹主动脉联合双髂动脉阻塞的介入治疗方法。方法　对19例腹主双侧髂动脉狭窄/闭塞患者采用导丝开通、导管局部溶栓、PTA及内支架植入等方法治疗,其中15 例行尿激酶50~200 万U(平均130 万U)溶栓,18 例PTA治疗,16例(39支动脉)接受内支架植入。结果　除1例主髂动脉、2例各1支髂动脉及1例双肾动脉未获开通外,余18例腹主动脉、髂动脉和2支肾动脉均成功开通。2例发生远端股、腘动脉栓塞经溶栓获得通畅。1 例因髂动脉破裂植入覆膜支架。术后平均住院8.5天。14例症状及体征明显改善,4例部分好转。随访18 例(1.5~78 个月),1 例于1.5 个月后1侧髂动脉闭塞,未能开通;1例分别于25和28个月发生主髂动脉闭塞,行PTA和再次支架植入,其余病例良好。结论　多种介入手段结合可有效治疗腹主双髂动脉狭窄/闭塞。 Objective To evaluate the interventional therapy of abdominal aorta and iliac artery occlusion. Methods Twenty-nine patients with bilateral iliac artery stenosis / occlusion were treated with guidewire, local thrombolysis, PTA and stent implantation. Fifteen to twenty million U of urokinase (average 1.3 million U ) Thrombolysis, 18 cases of PTA treatment, 16 cases (39 arteries) received endovascular implantation. Results In addition to 1 case of the main iliac artery, 2 cases of 1 iliac artery and 1 case of bilateral renal artery was not opened, the other 18 cases of abdominal aorta, iliac artery and 2 renal artery were successfully opened. 2 cases of distal femoral artery embolization thrombolysis obtained patency. One case was implanted with scaffolds due to iliac artery rupture. The average postoperative hospital stay of 8.5 days. 14 cases of symptoms and signs improved significantly, 4 cases partially improved. Follow-up was performed in 18 cases (1.5-78 months). One case died of iliac artery occlusion on the one side after 1.5 months. One case had primary iliac artery occlusion at 25 and 28 months. PTA and stent implantation The remaining cases are good. Conclusion A variety of interventions combined with effective treatment of abdominal iliac artery stenosis / occlusion.