急性肢体动脉闭塞的血管内介入治疗  

Intravascular interventional therapy for acute arterial occlusions in limbs

作　　者：黄求理[1] 宋侃侃[1] 吴安乐[1] 王荣[1] 邵梅华[1] 

机构地区：[1]浙江省宁波市第一医院,315010

出　　处：《介入放射学杂志》2000年第3期155-157,共3页Journal of Interventional Radiology

摘　　要：目的　探讨急性肢体动脉闭塞的血管内治疗方法和疗效。方法　采用血管内尿激酶溶栓术和经皮穿刺血管成形术 (PTA)治疗患者 12例 19段。男性 6例、女性 6例 ,年龄 2 8～ 85岁 ,平均 6 5岁。结果　溶栓治疗成功率 6 8.42 ( 13/ 19段 ) ,PTA治疗成功率 94.12 ( 16 / 17段 )。观察 6个月以上疗效满意率为 84.2 1% ( 16 / 19段 )。结论　局部溶栓是治疗急性肢体动脉闭塞的基本方法 ,大部分病例还需PTA治疗。作者提出血管再通后保留导管继续抗凝溶栓治疗 1～Objective To explore the methodology for intravascular treatment of acute arterial occlusions in limbs and evaluate the curative effect. Methods Thrombolysis of intraluminal urokinase infusion and percutaneous transluminal angioplasty (PTA) were performed respectively to treat 19 segments of 12 cases. Among them, 6 men and 6 women, aged 28～85 years average 65 years old. Results The successful ratio is 68.42%(13/19 segments) in intravascular thrombolysis, 94.12%(16/17 segments) in PTA. Follow up observation for more than 6 months, the effective ratio is 84.21%(16/19 segments). Conclusions The intravascular thrombolysis is a essential therapy for acute arterial occlusions. PTA is necessary for more the majority of the cases. The anticoagulant therapy and thrombolysis were proposed by retained catheter in artery for 1～3 days.

关 键 词：急性动脉闭塞 介入治疗 经皮穿刺血管成形术 

分 类 号：R815[医药卫生—放射医学]