DSA下Fogarty球囊导管在断肢(指)再植术后血管危象中应用的临床研究  

Clinical Study of Fogarty Balloon Catheter Under DSA in Vascular Crisis after Replantation of Limb (finger)

作　　者：李小东[1] 严晓薇[1] 刘士波[1] 王培[1] LI Xiaodong YAN Xiaowei LIU Shibo et al(The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, Chin)

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《河北医学》2017年第9期1412-1415,共4页Hebei Medicine

基　　金：承德市科学技术研究及发展计划项目;(编号:201422043)

摘　　要：目的:观察DSA下Fogarty球囊导管在断肢(指)再植术后血管危象中应用的临床效果。方法:自2010年1月至2016年1月,DSA下应用Fogarty球囊导管处理断肢(指)再植术后发生血管危象的患者23例,其中21例顺利成活,切口均I期愈合,1例出现急性心衰,心脏内科治疗,恢复良好。1例出现骨筋膜室综合征,予以手术治疗,恢复良好。2例术后再次出现血管危象,行切开探查术,1例治疗成功,1例动脉闭塞,肢体部分坏死,行截肢术。结果:排除切开探查术的2例患者,采用Fogarty导管处理的21例患者,平均随访10个月(6~28个月),肢体血运改善,可及动脉搏动,肿胀改善,感觉改善,活动度改善。参照中华医学会手外科学分会断肢再植功能评定试用标准评价疗效,本组优12例、良6例、差3例,优良率85.7%。结论:DSA下应用Fogarty球囊导管处理断肢(指)再植术后血管危象,临床疗效确定,可以避免断端再次切开探查。Objective： To observe the clinical effect of Fogarty balloon catheter under DSA in vascular crisis after replantation of limb（ finger）.Methods： From January 2010 to January 2016,23 patients underwent a vascular crisis with Fogarty balloon catheter in the DSA,21 patients survived,and the incision was healed,1 case of acute heart failure,cardiac medical treatment,recovery is good.1 case of osteofascial compartment syndrome,to be surgical treatment,recovery is good.2 cases of postoperative vascular crisis again,line incision exploration,1 case of successful treatment,2 cases of arterial occlusion,limb partial necrosis,amputation.Results： Exclude 2 patients with incision exploration,of the 21 patients treated with Fogarty catheter,an average follow-up of 10 months（ 6 months to 28 months）,limb blood supply improved,and arterial pulsation,swelling improved,sensory improvement,activity improve.According to CMA hand surgery branch of the limb replantation function evaluation criteria evaluation of the efficacy of this group of excellent 12 cases,good in 6 cases,poor in 3 cases,excellent rate of 85.7%.Conclusion： Fogarty balloon catheter was used in DSA to determine the vascular crisis after the replantation of the limb（ finger）,and the clinical curative effect was determined.

关 键 词：FOGARTY球囊导管 断肢(指) 再植术 血管危象 数字减影血管造影 

分 类 号：R658.1[医药卫生—外科学]