腔内外联合治疗急性下肢动脉栓塞  

The Combined Treatment of Endovascular and Extra-vascular in Acute Arterial Embolism in Lower Extremity

作　　者：张昌列[1] 

机构地区：[1]临沂市人民医院血管介入科,山东临沂276003

出　　处：《中国医药指南》2014年第25期7-8,共2页Guide of China Medicine

摘　　要：目的急性下肢动脉栓塞是临床急症,治疗方法较多。本文旨在探讨急性下肢动脉栓塞的疗效。方法收集我院2006年1月至2012年06月39例（45条患肢）,进行回顾性研究。采用腔内治疗及腔外治疗联合的方法治疗,急性下肢动脉栓塞39例（45条）,所有病例均行腔内治疗,其中取栓术35例,40条患肢,行股动脉成形术5例。结果手术均成功,予联合治疗后35例治愈,2例好转,2例截肢,无死亡。患者在接受手术之后其下肢踝肱数据指数较术前有明显改善,其指标从（0.72±0.13）下降到了（0.31±0.16）,数据有显著提高（P〈0.05）。患者术后3～36个月,临床症状有好转。结论腔内外联合是治疗急性下肢动脉栓塞的有效方法。具有手术创伤小,操作方便,有效缓解患肢症状等优点。Objective Acute lower limb artery embolization is a clinical emergency treatment. The purpose of this paper is to explore the curative effect of acute lower limb artery embolization. Method To collect data from January 2006 to jun 2012, 39 cases（45 a limb）, were retrospectively studied. Adopted intracavity treatment and treatment method of joint cavity, 39 cases of acute lower limb artery embolism（45）, all cases improperness in treatment, including chuan extraction for 35 cases, 40 limb, line of femoral artery plasty in 5 cases. Results Are performed successfully, to combination therapy after 35 cases were cured, 2 cases improved, 2 cases of amputation, and no death. Patients after surgery the leg ankle brachial index data more preoperative has obviously improved, the index fell from 0.72 and 0.72 to 0.13 and 0.16, the data has increased significantly（P〈0.05）. Between patients with postoperative 3 months to 36 months, clinical symptoms improved. Conclusion Cavity inside and outside the joint is an effective method for treatment of acute lower limb artery embolization. With a small surgical trauma, easy to operate, effectively alleviate limb symptoms, etc.

关 键 词：急性下肢动脉栓塞 腔内外联合 导管取栓治疗 血管成形术 溶栓 

分 类 号：R543.13[医药卫生—心血管疾病]