摘要
目的 探讨下肢动脉硬化继发急性血栓形成的外科治疗。方法 回顾性分析 16例下肢动脉硬化继发急性血栓形成的诊断方法和手术治疗方案。结果 16例中 4例行动脉取栓 +股浅动脉狭窄段内膜剥脱术 ,6例行动脉取栓 +股浅动脉开口处短段内膜剥脱 +股深动脉开口成形术 ,3例行动脉取栓 +髂外 -动脉搭桥 +股深动脉开口成形术 ,1例行动脉取栓 +股 -胫前动脉搭桥 ,1例行动脉取栓 +髂总 -股浅动脉搭桥 ,1例截肢。结论 下肢动脉硬化继发急性血栓形成应积极手术探查 ,术中除单纯取栓外 ,应根据具体动脉病变需要 ,再行动脉内膜剥脱术。
Objective To report our experience in the management of secondary acute thrombosis of the lower extremity arteriosclerosis obliterans . Methods Diagnosis and treatment of 16 patients with secondary acute thrombosis of the lower extremity arteriosclerosis obliterans were analyzed retrospectively.Results In this group,besides arterial thrombtomy was done on all patients,4 patients underwent superior femoral thrombectomy;6 patients underwent superior femoral endarterectomy+deep femoral arterioplasty;3 patients underwent illiacpopliteal bypass+deep femoral arterioplasty;1 patient underwent femoral-anterior tibial bypass;1 patient underwent illiacfemoral bypass;1 patient underwent amputation.Conclusion The probe by operation should be done in the arteriosclerosis obliterans of lower extremity.During operation,in addition to arterial thrombectomy,endarterectomy,deep femoral arterioplasy or saphenous vein bypass should be performed according to different arterial condition.
出处
《中国实用外科杂志》
CSCD
北大核心
2002年第3期163-164,共2页
Chinese Journal of Practical Surgery
