摘要
目的探讨经皮导引导管吸栓法治疗股、腘动脉栓塞的疗效。方法对47例股、腘动脉栓塞患者(50条患肢)行经皮导引导管吸栓术,部分患者联合腔内溶栓术及支架置入术。结果 46条患肢闭塞段管腔再通成功,技术成功率92.0%(46/50)。ABI由术前0.45±0.13上升至0.91±0.15(术后1周)。术中失血量50~400 ml。结论经皮导引导管吸栓术是治疗急性或亚急性股、腘动脉栓塞的简便有效的方法之一,其具有微创,安全,手术时间短及费用低等优点。
Objective To evaluate the effects of the percutaneous catheter thrombus aspiration for femoropopliteal arteries embolism. Methods Forty seven cases of femoropopliteal arteries embolism(50 low extremities) were treated by percutaneous catheter thrombus aspiration.At the same time,some of them were treated by intracavity thrombolytic therapy and stenting. Results 46 limbs underwent occluded artery segment recanalization successfully.The technical success rate was 92.0%(46/50).The ABI increased from 0.45±0.13(pre-operation) to 0.91±0.15(a week after interventional operation).The intraoperative blood loss was 50-400ml. Conclusion Percutaneous catheter thrombus aspiration for acute or subacute lower limb arterial embolism is simple and effective,with minimal invasion,safety,shorter operation time and lower expense.
出处
《临床军医杂志》
CAS
2012年第6期1312-1315,共4页
Clinical Journal of Medical Officers
关键词
动脉栓塞
下肢
经皮导管抽吸去栓术
导引导管
arterial embolism
lower extremity
percutaneous catheter thrombus aspiration
guiding catheter