[1]侯国欣,仝现州,王志伟,等.双点穿刺阻流取栓与单纯导管吸栓治疗急性下肢动脉栓塞的对比研究[J].介入放射学杂志,2008,(06):397.
 HOU Guoxin,TONG Xianzhou,WANG Zhiwei,et al.Comparison of obstructing blood flow interventional embolectomy and simple interventional embolectomy for acute lower limb arterial embolism[J].journal interventional radiology,2008,(06):397.
点击复制

双点穿刺阻流取栓与单纯导管吸栓治疗急性下肢动脉栓塞的对比研究()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年06期
页码:
397
栏目:
血管介入
出版日期:
2008-06-15

文章信息/Info

Title:
Comparison of obstructing blood flow interventional embolectomy and simple interventional embolectomy for acute lower limb arterial embolism
作者:
侯国欣仝现州王志伟
450003郑州市第五人民医院放射科
Author(s):
HOU Guo-xinTONG Xian-zhouWANG Zhi-weiZHANG Hui-jun.
Department of Radiology,Zhengzhou Municipal Fifth People's Hospital,Zhengzhou450003,China
关键词:
下肢动脉栓塞介入治疗取栓术双点穿刺阻流
分类号:
R543.5
文献标志码:
A
摘要:
目的探讨、比较单纯导管吸栓法和双点穿刺阻流取栓法治疗下肢动脉急性栓塞的疗效;评价双点穿刺阻流取栓法的治疗价值。方法总结和分析2004年1月-2007年4月收治的79例急性下肢动脉栓塞患者的临床资料:其中单纯导管吸栓法治疗56例,经皮双点穿刺阻流取栓法治疗23例。结果79例下肢动脉急性栓塞患者均采用介入方法成功去除栓子,开通动脉。单纯导管吸栓法治疗组术后截肢(趾)率19.6%(11/56),病死率5.4%(3/56);双点穿刺阻流取栓法治疗组截肢(趾)率8.7%(2/23),病死率4.3%(1/23)。结论经皮双点穿刺阻流取栓术治疗下肢动脉急性栓塞,是一种简便有效的方法,与传统的单纯吸栓术相比,病死率差别无统计学意义,但截肢(趾)率明显下降,且术后恢复快,总体花费少。

参考文献/References:

[1]Earnshaw JJ,Whiiman B,Foy C,et al.National audit of thrombolysis for acute leg ischemia:clinical factors associated with early outcome [J].J Vasc Surg,2004,39:1018-1025.
[2]刘昌伟.高危重症下肢缺血的治疗策略[J].中国实用外科杂志,2004,24:195-196.
[3]王玉琦,叶建荣.血管外科治疗学[M].上海:上海科学技术出版社,2003:22.
[4]张望德,苑超,原标,等.23例急性肢体动脉栓塞救治分析[J].北京医学,2002,24:31-32.
[5]Eliason JL,Wainess RM,Proctor MC,et al.A national and single institusional experience in the contemporary treatment of acut lower extremity ischemia[J].Ann Surg,2003,238:382-389.
[6]郭曙光,方伟,尹存平,等.急性下肢缺血的外科手术治疗:附96例报告[J].中国普通外科杂志,2006,15:321-323.
[7]施国兴,许顺良,赵建岗.急性下肢动脉闭塞性病变的介入诊治[J].介入放射学杂志,2005,14:308-310.
[8]褚光平,蔡敬铭,肖亿,等.急性下肢动脉栓塞的治疗方法比较[J].临床医学,2006,26:42-45.
[9]黄道景,龚凯,范跃祖.急性下肢动脉栓塞症综合治疗[J].中国现代医学杂志,2003,13:131-133.
[10]马春梅,刘惠亮,罗建平,等.经导管溶栓及吸栓术治疗急性下肢动脉栓塞[J].中国循环杂志,2004,19:442.

相似文献/References:

[1]杨金炜,李冠海,张明德. 左冠状动脉窦瘤一例[J].介入放射学杂志,2012,(02):152.
 YANG Jin-wei,LI Guan-hai,ZHANG Ming-de..Aneurysm of the left coronary sinus: report of one case[J].journal interventional radiology,2012,(06):152.
[2]夏冰,侯庆峰,王兢,等.股骨头缺血性坏死介入治疗的护理[J].介入放射学杂志,2000,(03):148.
[3]刘建民 洪波 许奕 黄清海 赵文元 秦永文 周晓平.血管内支架治疗颅内动脉瘤[J].介入放射学杂志,2001,(04):195.
[4]史跃,高从敬,孟宪俊,等.颅内动脉溶栓联合机械碎栓治疗急性脑梗死[J].介入放射学杂志,2008,(05):309.
 SHI Yue,MENG Xianjun,CAI Tingjiang,et al.Intracranial arterial thrombolysis and mechanical fragmentation in patients with acute infarction[J].journal interventional radiology,2008,(06):309.
[5]王彬,闫东,刘德忠,等.胰腺癌不同治疗模式的疗效分析[J].介入放射学杂志,2008,(06):404.
 WANG Bin,YANG Dong,LIU Dezhong,et al.Analysis of different therapeutic programs for patients with pancreatic carcinoma[J].journal interventional radiology,2008,(06):404.
[6]田民,靳梅,陈宦君,等.鼻泪管支架植入术的改良方法[J].介入放射学杂志,2008,(06):441.
 TIAN Min,JIN Mei,CHEN Huanjun,et al.Modified nasolacrimal duct stenting[J].journal interventional radiology,2008,(06):441.
[7]李槐,刘德忠,闫东.胰腺癌的介入诊疗[J].介入放射学杂志,2008,(06):381.
 LI Huai,LIU Dezhong,YAN Dong.Interventional therapy for pancreatic carcinoma[J].journal interventional radiology,2008,(06):381.
[8]宋恬,殷士蒙,孙荣跃,等.探讨介入治疗对晚期胰腺癌的疗效[J].介入放射学杂志,2008,(06):411.
 SONG Tian,YIN Shimeng,SUN Rongyue,et al.The efficacy discussion of interventional therapy for advanced pancreatic carcinoma[J].journal interventional radiology,2008,(06):411.
[9]郑家平,邵国良,俞炎平,等.介入化疗治疗晚期恶性胰岛细胞瘤:附4例报道[J].介入放射学杂志,2008,(06):408.
 ZHENG Jiaping,SHAO Guoliang,YU Yanping,et al.Transcatheter arterial infusing chemotherapy for advanced malignant pancreatic islet cell tumors:four cases report[J].journal interventional radiology,2008,(06):408.
[10]程光森,彭秀斌,陈加源,等.不同栓塞材料在急性内脏出血介入栓塞中的应用[J].介入放射学杂志,2008,(07):475.
 CHENG Guangsen,PENG Xiubin,CHEN Jiayuan,et al.The different embolic agents of intervention therapy for emergency splanchnic hemorrhage[J].journal interventional radiology,2008,(06):475.

备注/Memo

备注/Memo:

稿日期:2007-09-10基金项目:郑州市科技攻关项目(0745GYS33194-4)
更新日期/Last Update: 2008-06-15