摘要
目的 观察在急性非创伤性肢体缺血中采取切开取栓联合腔内治疗的有效性。方法 选取2022年12月—2023年11月六盘水市人民医院收治的48例急性非创伤性肢体缺血患者为研究对象,按治疗方法的不同分为试验组与对照组,各24例。试验组患者提供切开取栓联合腔内治疗,对照组患者采取保守治疗。分析2组患者治疗效果、症状积分、神经感觉及预后情况。结果 试验组治疗有效率为100%(24/24),高于对照组的75.00%(18/24),差异有统计学意义(P<0.05)。试验组疼痛、无脉、苍白、麻痹、感觉异常、皮温改变症状积分分别为(0.50±0.11)分、(0.41±0.12)分、(0.46±0.10)分、(0.64±0.20)分、(0.59±0.14)分、(0.44±0.11)分,均低于对照组的(2.25±0.51)分、(2.30±0.47)分、(2.22±0.59)分、(2.61±0.30)分、(2.38±0.46)分、(2.10±0.33)分,差异有统计学意义(P<0.001)。试验组腓总神经传导速度、胫神经传导速度分别为(48.00±4.96)m/s、(48.68±4.74)m/s,均高于对照组的(37.10±5.36)m/s、(36.11±6.10)m/s,差异有统计学意义(P<0.001)。随访1年,试验组术后保肢率为100%(24/24),术后肢体运动感觉恢复良好率为83.33%(20/24),对照组保肢率和肢体运动感觉恢复良好率分别为95.83%(23/24)、79.17%(19/24),2组术后保肢率、术后肢体运动感觉恢复良好率比较差异无统计学意义(P > 0.05)。结论 在急性非创伤性肢体缺血中采取切开取栓联合腔内治疗可以提高术后保肢率,缓解临床症状,促进神经感觉恢复。
Objective To observe the effectiveness of incision and thrombectomy combined with endovascular treatment in acute non-traumatic limb ischemia.Methods A total of 48 patients with acute non-traumatic limb ischemia admitted to Liupanshui Municipal People's Hospital from December 2022 to November 2023 were selected as the research subjects and divided into the experimental group and the control group according to different treatment methods,with 24 cases in each group.Patients in the experimental group were provided with incision and thrombectomy combined with endovascular treatment,while patients in the control group were provided with conservative treatment.The therapeutic effects,symptom scores,neurosensations and prognosis of the two groups of patients were analyzed.Results The effective rate of treatment in the experimental group was 100%(24/24),which was higher than 75.00%(18/24)in the control group,and the difference was statistically significant(P<0.05).The symptom scores of pain,absence of pulse,paleness,paralysis,paresthesia and skin temperature change in the experimental group were(0.50±0.11)points,(0.41±0.12)points,(0.46±0.10)points,(0.64±0.20)points,(0.59±0.14)points and(0.44±0.11)points respectively,which were lower than(2.25±0.51)points,(2.30±0.47)points,(2.22±0.59)points,(2.61±0.30)points,(2.38±0.46)points,and(2.10±0.33)points in the control group,and the differences were statistically significant(P<0.001).The conduction velocities of the common peroneal nerve and the tibial nerve in the experimental group were(48.00±4.96)m/s and(48.68±4.74)m/s respectively,which were both higher than(37.10±5.36)m/s and(36.11±6.10)m/s in the control group,and the differences were statistically significant(P<0.001).The patients were followed up for one year.The limb salvage rate of the experimental group after the operation was 100%(24/24),the good recovery rate of limb motor sensation after the operation was 83.33%(20/24).The limb salvage rate and the good recovery rate of limb motor sensation of the control group were 95.83%(23/24)and 79.17%(19/24),there was no statistically significant difference in the limb salvage rate and the good recovery rate of limb motor sensation after surgery between the two groups(P>0.05).Conclusion In acute non-traumatic limb ischemia,incision and thrombectomy combined with endovascular treatment can increase the postoperative limb salvage rate,alleviate clinical symptoms,and promote the recovery of neurosensory sensation.
作者
周峰
解银立
支兴兴
朱锐
刘东明
ZHOU Feng;XIE Yinli;ZHI Xingxing;ZHU Rui;LIU Dongming(Department of Vascular Tumor Interventional,Liupanshui Municipal People's Hospital,Liupanshui Guizhou 553000,China)
出处
《中国卫生标准管理》
2025年第18期109-112,共4页
China Health Standard Management
关键词
急性非创伤性肢体缺血
切开取栓
腔内治疗
球囊扩张
治疗效果
症状积分
acute non-traumatic limb ischemia
incision and thrombectomy
endovascular treatment
balloon dilation
treatment effect
symptom score
