切开取栓术在老年急性下肢动脉栓塞患者中的治疗效果  

Application effect of incision thrombectomy in elderly patients with acute lower extremity arterial embolism

作　　者：王立红[1] 田少勇[2] 杨彦林[2] 雷勇[3] Wang Lihong;Tian Shaoyong;Yang Yanlin;Lei Yong(Operating Room,Hengshui People's Hospital/Harrison International Peace Hospital,Hengshui 053000,Hebei,China;Department of Interventional Medicine,Hengshui People's Hospital/Harrison International Peace Hospital,Hengshui 053000,Hebei,China;Department of Glandular Vascular Surgery,Hengshui People's Hospital/Harrison International Peace Hospital,Hengshui 053000,Hebei,China)

机构地区：[1]衡水市人民医院/哈励逊国际和平医院手术室,河北衡水053000 [2]衡水市人民医院/哈励逊国际和平医院介入科,河北衡水053000 [3]衡水市人民医院/哈励逊国际和平医院腺体血管外科,河北衡水053000

出　　处：《血管与腔内血管外科杂志》2023年第2期205-208,234,共5页Journal of Vascular and Endovascular Surgery

基　　金：河北省医学科学研究课题计划项目(20200407)。

摘　　要：目的探讨切开取栓术在老年急性下肢动脉栓塞患者中的治疗效果。方法收集2020年6月到2022年6月于衡水市人民医院/哈励逊国际和平医院接受治疗的200例老年急性下肢动脉栓塞患者的临床资料,按治疗方式的不同将其分为切开组(n=100,行切开取栓术)和溶栓组(n=100,行导管接触性溶栓)。比较两组患者术后即刻的血管通畅率,手术前后的踝肱指数、足部皮温以及疼痛程度。结果术后即刻,两组患者的通畅率均为100%。手术前后,两组患者的踝肱指数、足部皮温比较,差异均无统计学意义(P﹥0.05)。术后3 d,两组患者的疼痛程度比较,差异无统计学意义(P﹥0.05)。住院期间,切开组患者的并发症总发生率为5.0%(5/100),低于溶栓组患者的14.0%(14/100),差异有统计学意义(P﹤0.05)。结论切开取栓术与导管接触性溶栓治疗老年急性下肢动脉栓塞患者的疗效相当,但切开取栓术的短期并发症发生率更低。Objective To investigate the therapeutic effect of thrombectomy in elderly patients with acute lower extremity arterial embolism.Method The clinical data of 200 elderly patients with acute lower extremity arterial embolisms who were treated in Hengshui People's Hospital/Harrison International Peace Hospital from June 2020 to June 2022 were collected.They were divided into thrombectomy group(n=100,underwent thrombectomy)and thrombolysis group(n=100,underwent catheter-directed thrombolysis)according to different treatment methods.The vascular patency rate immediately after the operation,the ankle-brachial index,foot skin temperature,pain degree before and after the operation were compared between the two groups.Result Immediately after the operation,the patency rate was 100%in both groups.Before and after the operation,there were no significant differences in the ankle-brachial index and foot skin temperature between the two groups(P>0.05).After operation 3 d,there was no statistically significant difference in the degree of pain between the two groups(P>0.05).During hospitalization,the total incidence of complications in the thrombectomy group was 5.0%(5/100),lower than 14.0%(14/100)in the thrombolysis group,the difference was statistically significant(P<0.05).Conclusion Thrombectomy could achieve a comparable curative effect in the treatment of elderly patients with acute lower extremity arterial embolism compared with catheter-directed thrombolysis.Attentionally,the short-term complication rate of thrombectomy is lower.

关 键 词：急性下肢动脉栓塞 切开取栓术 导管接触性溶栓 

分 类 号：R543[医药卫生—心血管疾病]