介入取栓术治疗急性肠系膜上动脉栓塞临床研究  

Interventional embolectomy for acute superior mesenteric artery embolism

作　　者：李选[1] 欧阳强[1] 萧湘生[1] 

机构地区：[1]第二军医大学长征医院

出　　处：《介入放射学杂志》2006年第4期206-208,共3页Journal of Interventional Radiology

摘　　要：目的评价经皮肠系膜上动脉吸栓和(或)溶栓治疗急性肠系膜上动脉栓塞的疗效。方法34例急性肠系膜上动脉栓塞的患者(房颤14例;左房黏液瘤2例;血栓形成15例;慢性缺血性肠病急性发作3例),行经皮动脉长鞘吸栓术和(或)溶栓术。结果34例患者均成功的去除栓子,动脉开通。31例痊愈;2例行开腹探查;1例24h后死亡。结论经皮介入取栓术对于治疗急性肠系膜上动脉栓塞,是一种简便有效的方法。准确地判断病因是提高疗效,避免合并症的关键。Objective To evaluate the effects of percutaneous embolectomy for treament of acute superior mesenteric artery embolism. Methods 34 cases （atrial fibrillation 14 cases; left atrium myxoma 2 cases; SMA thrombosis 15 cases and chronic mesenteric ischemia 3 cases） of acute mesenteric artery embolism were treated with percutaneous embolectomy using long sheath aspiration method and/or thrombolysis via catheterization of the SMA. Results Successful recanalizations were achieved in all of the 34 superior mesenteric arterial embolism including recovery in 31 cases, laparotomy for 2 cases, and 1 died within 24 hours. Conclusions Percutaneous embolectomy using long sheath aspiration is a simple and effective method for treatment of acute superior mesenteric artery embolism.A correct pathogenetie diagnosis is the key to improve the curative effect and avoid the severe complication.

关 键 词：栓子去除术 经皮的 动脉 肠系膜上动脉 闭塞 

分 类 号：R572.3[医药卫生—消化系统]