| 王晓天,洪磊,沈广辉,等.下肢动脉硬化性闭塞泛大西洋协作组织分型的局限性与新分型的建立[J].中国临床保健杂志,2026,29(2):159-161. |
| 下肢动脉硬化性闭塞泛大西洋协作组织分型的局限性与新分型的建立 |
| Limitations of the Trans-Atlantic Inter-Society Consensus classification for lower limb arterial atherosclerotic occlusion and discussion on establishing a new classification |
| 投稿时间：2026-02-05 |
| DOI：10.3969/J.issn.1672-6790.2026.02.003 |
| 中文关键词: 闭塞性动脉硬化 诊断技术,外科学 血栓栓塞 病理过程 |
| 英文关键词: Arteriosclerosis obliterans Diagnostic techniques,surgical Thromboembolism Pathologic processes 〖FL |
| 基金项目: |
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| 摘要点击次数: 33 |
| 全文下载次数: 34 |
| 中文摘要: |
| 下肢动脉硬化性闭塞症(ASO)是导致老年患者致残的主要血管疾病之一。长期以来,临床治疗方案的选择主要依据泛大西洋协作组织(TASC)Ⅱ分型系统。然而,随着血管介入技术的迭代更新及新型器械的广泛应用,TASC Ⅱ分型在指导复杂病变治疗方面的局限性日益凸显,致使临床决策面临挑战。近年来的临床实践与循证证据表明,血管内阻塞物的病理成分(尤其是急性及亚急性血栓负荷)是决定术后血管通畅率的关键因素。鉴于此,结合血栓成分分析等前沿技术,构建基于阻塞物病理特征的新型分型体系,有望实现ASO治疗方案的精准化选择,从而改善患者预后。 |
| 英文摘要: |
| Arteriosclerotic Occlusive Disease (ASO) of the lower extremities is one of the primary vascular diseases leading to disability in elderly patients.Historically,the selection of clinical treatment options has primarily relied on the Trans-Atlantic Inter-Society Consensus(TASC)Ⅱ classification system.However,with the iterative updates of vascular intervention techniques and the widespread application of novel devices,the limitations of the TASC Ⅱ classification in guiding the treatment of complex lesions have become increasingly prominent,posing challenges to clinical decision-making.Recent clinical practices and evidence-based studies have indicated that the pathological composition of intravascular obstructions,particularly acute and subacute thrombus burden,is a crucial factor determining postoperative vascular patency rates.In light of this,by incorporating cutting-edge technologies such as thrombus composition analysis,the construction of a novel classification system based on the pathological characteristics of obstructions holds promise for achieving precise selection of ASO treatment options,thereby improving patient outcomes. |
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