摘要
下肢动脉硬化性缺血性病变(lower extremity atherosclerotic disease,LEAD)是全球范围内较为严重的慢性疾病之一。近年来,医疗技术的进步使得LEAD治疗取得了显著进展,但仍存在一定的挑战。在LEAD的诊疗过程中,从传统的开放手术模式向腔内治疗模式的转变已经取得了明显的成效,但同时需警惕单一化诊疗思路,应根据患者情况及病变性质进行个体化诊疗。真实世界中常见到片面重视血管重建术而忽视全面评估和全程化管理的现象。因此,近年来从血运重建到全流程管理的转变趋势逐渐显现。现从手术前诊断与全面评估、主要治疗方法及手术方式的合理选择、全生命周期的优化治疗方案选择等进行全面阐述,强调全程化管理的重要性,并探讨这一转型与未来发展的可能性。
Lower extremity atherosclerotic disease(LEAD)is one of the serious chronic diseases globally.In recent years,medical advancements have led to significant progress in LEAD treatment,yet certain challenges remain.Within the diagnostic and therapeutic process for LEAD,a shift from the traditional open surgical model to an endovascular treatment approach has yielded marked success.However,it is necessary to guard against an oversimplified diagnostic and therapeutic mindset.Personalized diagnosis and treatment should be administered based on the patient's condition and the nature of the lesions.In real-world practice,there is often a disproportionate emphasis on revascularization procedures,overlooking comprehensive assessment and holistic management.Consequently,a recent trend has emerged,shifting the focus from mere revascularization to integrated,full-process management.This paper provides a comprehensive exposition on preoperative diagnosis and holistic assessment,the rational selection of primary treatment methods and surgical techniques,and the optimization of treatment strategies across the full life cycle,while underscoring the importance of whole-process management.It further explores the implications of this transition and its potential for future development.
作者
陈忠
CHEN Zhong(Vascular Surgery Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,P.R.China)
出处
《中国普外基础与临床杂志》
2026年第1期11-15,共5页
Chinese Journal of Bases and Clinics In General Surgery
关键词
下肢动脉硬化性缺血病变
诊断
治疗
全流程管理
lower extremity atherosclerotic disease
diagnosis
treatment
integrated pathway management
