介入技术在治疗下肢急性动脉栓塞中应用.pdfVIP

·临床论著·ClinicaIArticle· 201 介入技术在治疗下肢急性动脉栓塞中 的应用 李宴节崔进国赵增富王俊英马青梅 河北省邯郸市第二医院介入血管外科(河北邯郸056001) I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，酬氏术后再栓塞率 和截肢率。 【关键词】动脉栓塞·介入技术-取栓手术 【中图分类号】R654．4 0 009-9905．2011．03．011 doi：1 【文献标识码】A 3969／j．issn．1 【文章编号】1009—9905(2011)03—0201—03 in Endovascular thetreatmentforacutelowerex- technique tremitiesischemia LI Yan-jie，CUIJin-guo，ZHAOZeng-fu，WANGJun-ying，MAQing-mei ofInterventionalVascular Second ofHandan Department Surgery,theHosptial City (Handan 056001,China) theendovascular andtraditional 【ABSTRACT】Objective：Combiningtechnique surgical ischemiaofIower 49casesofacuteiS-- to theacute limbs．Methods：The thrombectomyimprove endovascular casescombinationofca- chemiaoflowerIimbsweretreated intervention．some by by casestraditional dovascularinterventionandtraditional surgical surgicalthrombectomy，someby inthe ofIowerIimbswere removedinalIcas- thrombectomy．Results：EmbolIartery successfully thearterieswereidentifiedin6cases．Toe was inone es．Re—obstructionof amputationperformed casesandall werealive the thecasestreatedcombi— perioperative by patients during period．While