Fogarty导管取栓术治疗急性肢体动脉栓塞87例分析  

Analysis of 87 cases of acute extremity arterial embolism treated by fogarty catheter.

作　　者：贠军[1] 王岭[1] 凌瑞[1] 边杰芳[1] 姚青[1] 王廷[1] 易军[1] 李小军[1] 

机构地区：[1]第四军医大学西京医院血管外科,西安710032

出　　处：《中国综合临床》2007年第11期1017-1019,共3页Clinical Medicine of China

摘　　要：目的探讨Fogarty导管取栓术治疗急性肢体动脉栓塞的方法和疗效。方法回顾性分析87例急性肢体动脉栓塞患者(89条患肢) Figarty导管取栓的疗效。结果治愈78例,患肢血供保持良好,治愈率87.6%;4例(4.5%)好转;5例截肢(5.6%).其中2例死亡(2.3%)。结论Fogarty导管取栓术是治疗急性肢体动脉栓塞的有效方法;为防止误诊,对疑有肢体动脉栓塞者应施行超声多普勒检查;一经确诊,尽早手术取栓可减少肢体坏死的危险。Objective To explore the methods and the therapeutic efficacy of Fogarty catheter for the treatment of acute arterial embolism in the extremities. Methods The therapeutic effect of Fogarty catheter were analyzed retrospectively in 87 cases of acute arterial embolism in the extremities. Results After operation, 78 cases were cured with blood stream of limb resumed（ 87.6 % ）. 4 cases improved（4.5% ）. 5 cases （5.6%） received amputation 2 cases （ 2.3%） with whom died of perioperative death. Conclusion Fogarty catheter is an effective method for the treatment of acute arterial embolism in the extremities. Ultrasound doppler examination should be taken for avoidance of misdiagnosis when acute extremity arterial embolism is suspected. As long as the diagnosis is established,emboleetomy with forgarty catheter should be carried out to avoid necrosis of the extremity.

关 键 词：动脉栓塞 取栓术 FOGARTY导管 

分 类 号：R654.3[医药卫生—外科学]