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主髂动脉闭塞病变位于腹主动脉分叉周围,累及双髂和双股动脉。急性闭塞多继发于主动脉骑跨栓或者其他继发血栓,慢性闭塞的原发病主要为动脉硬化。造影是其诊断的金标准。同时,CTA、MRA、彩超和ABI也对本病的诊断和治疗具有重要的意义。早期治疗本疾病,采用内膜剥脱术和自体血管移植,随着血管材料、开放手术和腔内技术的发展,人工血管旁路转流和腔内治疗已经成为治疗本疾病的常用方法。
The main iliac artery occlusion lesions located around the bifurcation of the abdominal aorta involving double iliac and double femoral artery. Acute occlusion and more secondary to secondary aortic cross-bolt or other secondary thrombosis, chronic occlusion of the primary disease is mainly atherosclerosis. Angiography is the gold standard for its diagnosis. At the same time, CTA, MRA, color Doppler ultrasound and ABI are also important for the diagnosis and treatment of this disease. Early treatment of this disease, the use of endarterectomy and autologous vascular graft, with the development of vascular materials, open surgery and endoluminal techniques, artificial blood vessel bypass and endovascular treatment has become a common method of treatment of this disease.