切开取栓与杂交手术治疗急性下肢缺血的疗效比较  

Comparison of Curative Effect Between Incision and Embolectomy and Hybrid Surgery in the Treatment of Acute Lower Limb Ischemia

作　　者：郑国学 康藤耀 谭强[1] 陈开[1] ZHENG Guo-xue;KANG Teng-yao;TAN Qiang;CHEN Kai(Department of Vascular Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院血管外科,四川南充637000

出　　处：《医学信息》2021年第11期114-117,共4页Journal of Medical Information

摘　　要：目的比较切开取栓与杂交手术治疗急性下肢缺血(ALLI)的安全性和有效性。方法回顾性分析2016年1月1日~2020年6月30日在我科治疗的51例急性下肢缺血患者的临床及术后1月随访资料,根据手术方式分为切开取栓组(28例)和杂交手术组(23例),比较两组手术后30 d内疗效、并发症发生率、手术再干预率、死亡率、住院时长及日均住院费用。结果切开取栓组手术后30 d内总有效率高于杂交手术组(89.29%vs 78.26%),但差异无统计学意义(P>0.05);两组并发症发生率、死亡率、手术再干预率比较,差异均无统计学意义(P>0.05);杂交手术组住院时长及日均住院费用高于切开取栓组高,差异有统计学意义(P<0.05)。结论切开取栓术与杂交手术治疗ALLI均安全有效,疗效无明显差异,但杂交手术费用更高且住院时间更长,应优先推荐切开取栓术。Objective To compare the safety and effectiveness of incision and embolectomy and hybrid surgery in the treatment of acute lower limb ischemia(ALLI).Methods To retrospectively analyze the clinical and 1-month follow-up data of 51 patients with acute lower limb ischemia treated in our department from January 1,2016 to June 30,2020.According to the method of operation,it was divided into a thrombus removal group(28 cases)and a hybrid operation group(23 cases).The efficacy,complication rate,re-intervention rate,mortality rate,length of hospital stay and average daily hospitalization expenses within 30 d after surgery were compared between the two groups.Results The total effective rate within 30 d after surgery in the thrombus removal group was higher than that in the hybrid surgery group(89.29%vs 78.26%),but the difference was not statistically significant(P>0.05);There was no statistically significant difference in the complication rate,mortality rate,and re-intervention rate between the two groups(P>0.05);The length of hospital stay and average daily hospitalization expenses in the hybrid surgery group were higher than those in the incision and thrombus removal group,the difference was statistically significant(P<0.05).Conclusion Both open embolectomy and hybrid surgery are safe and effective in treating ALLI,and there is no significant difference in efficacy.However,the cost of hybrid surgery is higher and the hospital stay is longer,so embolectomy should be recommended first.

关 键 词：急性下肢缺血 切开取栓术 杂交手术 

分 类 号：R543[医药卫生—心血管疾病]