摘要
目的:应用介入技术,结合或改进传统的下肢动脉取栓手术,提高手术成功率,降低术后再栓塞率、截肢率和死亡率。方法:应用置管溶栓、传统Fogarty导管取栓术、监视下双腔导管取栓术,结合斑块剥脱术、血管腔内成形术(PTA)、支架植入、人工血管置换术等治疗急性下肢动脉栓塞49例(共涉及53条下肢动脉)。结果:全组病例术后再栓塞6例,1例截肢,无死亡病例。其中,介入技术结合手术治疗的患者无再栓塞和截肢事件。结论:在取栓手术中应用介入技术,明显增加手术成功率,降低术后再栓塞率和截肢率。
Objective： Combining the endovascular technique and traditional surgical thrombectomy to improve the acute ischemia of lower limbs.Methods： The 49 cases of acute ischemia of lower limbs were treated by endovascular intervention,some cases by combination of endovascular intervention and traditional surgical thrombectomy,some cases by traditional surgical thrombectomy.Results： Emboli in the artery of lower limbs were successfully removed in all cases.Re-obstruction of the arteries were identified in 6 cases.Toe amputation was performed in one cases and all patients were alive during the perioperative period.While the cases treated by combination of endovascular intervention and traditional surgical thrombectomy have no re-obstruction and amputation.Conclusion： The combination of endovascular technique and traditional surgical thrombectomy can improve the outcome of the acute ischemia of lower limbs and degrade the rate of re-obstruction and amputation.
出处
《中国现代普通外科进展》
CAS
2011年第3期201-203,共3页
Chinese Journal of Current Advances in General Surgery
关键词
动脉栓塞
介入技术
取栓手术
Arterial embolism·Endovascular technique·Thrombectomy
