急性下肢动脉取栓联合低位深组动静脉转流术防治缺血-再灌注损伤的探讨  

Prevention the ischemia-reperfusion injury with acute lower extremity arterial thrombectomy group conbining with low deep arteriovenous shunt

作　　者：田军军[1,2] 尹红[1] 王朝生[1] 

机构地区：[1]湖北省中医院血管外科,武汉430060 [2]湖北省中医学院

出　　处：《华中医学杂志》2009年第2期82-84,共3页Central China Medical Journal

摘　　要：目的探讨下肢急性动脉栓塞的治疗方法,评价Fogarty导管取栓联合低位深组动静脉转流术对术后缺血-再灌注损伤的防治作用。方法对我院收治的30例急性下肢腘动脉以下栓塞患者随机分成联合治疗组(15例)和单纯取栓组(15例),分别采用Fogarty导管取栓联合低位深组动静脉转流术和单纯Fogarty导管取栓术,观察术后疗效及缺血-再灌注损伤的发生情况。结果联合治疗组术后缺血-再灌注损伤的发生率以及发生的程度明显低于单纯取栓组。结论动脉取栓联合低位深组动静脉转流术能明显降低术后因缺血-再灌注损伤所引起的并发症的发生率。Objective To investigate the lower limb acute arterial embolization treatment and to evaluate the protection of Fogarty catheter thrombectomy united low deep arteriovenous shunt on postoperative ischemia-reperfusion injury.Methods Thirty cases of acute lower limb popliteal artery following embolization patients were randomly divided into treatment group（15 cases） and simple thrombectomy group（15 cases） using Fogarty catheter thrombectomy united low deep arteriovenous shunt and simple Fogarty embolectomy catheter respectively,to observe the efficacy and postoperative ischemia-reperfusion injury occurrence.Results The incidence of ischemia-reperfusion injury and degree of occurrence in the treatment group was significantly lower than that in the simple thrombectomy group.Conclusion Artery thrombectomy combining with low deep arteriovenous shunt can significantly reduce the postoperative result of ischemia-reperfusion injury caused by the incidence of complications.

关 键 词：急性下肢动脉栓塞 动静脉转流术 缺血-再灌注损伤 

分 类 号：R654.3[医药卫生—外科学]