[1]秦永林,柏志斌,邓 钢,等. 复合手术治疗急性下肢缺血性腘动脉瘤[J].介入放射学杂志,2012,(11):902-907.
 QIN Yong- lin,BAI Zhi- bin,DENG Gang,et al. Hybrid operation for the treatment of popliteal aneurysm with acute lower extremity ischemia: preliminary results[J].journal interventional radiology,2012,(11):902-907.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年11期
页码:
902-907
栏目:
血管介入
出版日期:
2012-11-28

文章信息/Info

Title:
 Hybrid operation for the treatment of popliteal aneurysm with acute lower extremity ischemia: preliminary results
作者:
 秦永林 柏志斌 邓 钢 方 文 滕皋军
Author(s):
 QIN Yong- lin BAI Zhi- bin DENG Gang FANG Wen TENG Gao- jun.
 Department of Interventional Therapy and Vascular Surgery, Zhongda Hospital, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
 【关键词】 腘动脉瘤 外科手术 介入治疗
文献标志码:
A
摘要:
 【摘要】 目的 探讨复合手术治疗急性下肢缺血性腘动脉瘤的早期疗效。方法 2004年8月至2007年6月收治合并急性下肢缺血的腘动脉瘤患者7例,采用外科手术与血管介入相结合的复合手术方式进行治疗。复合手术包括传统的手术切除,结合手术前后置管溶栓、球囊扩张、术中球囊导管取栓等。方法 观察围手术期并发症及早期治疗效果并对相关文献进行分析。结果 外科手术包括动脉瘤旷置术2例,动脉瘤切除术5例。动脉瘤切除后重建方法包括人工血管置换术6例,自体动脉端端吻合1例。血管介入包括手术前后球囊扩张及置管溶栓7例, 1例行术中取栓。围手术期无严重并发症,术后1周的踝肱指数较术前明显改善(0.68 ~ 0.98比0.22 ~ 0.52,P < 0.001)。术后随访人工血管通畅,动脉瘤远近端侧支循环保留,肢体感觉及运动功能良好。结论 复合手术保留了侧支循环,可以降低术后肢体远端缺血的风险;介入方法的使用保证了术后流出道的通畅,有助于避免术后移植物急性闭塞,从而有效降低术后截肢率。

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备注/Memo

备注/Memo:
 

(收稿日期:2012?蛳 03?蛳 29)

更新日期/Last Update: