介入疗法在急性肢体动脉闭塞治疗中的应用价值  

Application value of interventional treatment in acute arterial occlusions of limbs

作　　者：黄求理[1] 宋侃侃[1] 郑伟方[2] 施建国[1] 居洁勤[1] 王兰芳[1] 

机构地区：[1]宁波市第一医院影像科,浙江宁波315010 [2]宁波大学医学院附属医院放射科,浙江宁波315010

出　　处：《中国介入影像与治疗学》2007年第1期52-54,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨介入疗法在急性肢体动脉闭塞治疗中的应用价值。方法回顾性总结28例急性肢体动脉闭塞介入治疗经验。采用经皮血管腔内成形术和动脉内溶栓术治疗上肢动脉闭塞5例、腹主动脉下段闭塞1例、下肢动脉闭塞22例。结果经术后4个月～9年临床观察，急性单段动脉闭塞血管再通率为100％（8／8例）、多段动脉闭塞血管再通率为80％（16／20例），总血管再通率为85．71%（24／28例）。结论介入疗法是治疗急性肢体动脉闭塞的一种有效方法，值得推广应用。Objective To explore the application value of interventional treatment in acute arterial occlusions of limbs. Methods Twenty-eight patients with acute arterial occlusions of limbs were treated by percutaneous transluminal angioplasty （PTA） and thrombolysis of intraluminal Urokinase infusion. There were 5 arteries of upper limbs, 1 lower abdominal aorta and 22 arteries of lower limbs. Results The recanalization ratio was 100% （8/8 cases） in only one arterial occlusion, 80% （16/20 cases） in arterial occlusions and 85. 71% （24/28 cases） in total cases by follow-up observation for 6 months to nine years. Conclusion The interventional treatment is an effective and applied method for acute arterial occlusions of limbs.

关 键 词：急性动脉闭塞 介入治疗 溶栓 经皮血管腔内成形术 

分 类 号：R543[医药卫生—心血管疾病]