[1]薛冠华,梁卫,黄晓钟,等.导管溶栓治疗急性下肢动脉缺血的疗效评价[J].介入放射学杂志,2010,(09):715.
 XUE Guanhua,LIANG Wei,HUANG Xiaozhong,et al.Therapeutic evaluation of catheter-directed thrombolysis for the treatment of acute arterial ischemia of lower extremities[J].journal interventional radiology,2010,(09):715.
点击复制

导管溶栓治疗急性下肢动脉缺血的疗效评价()

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:
2010年09期
页码:
715
栏目:
血管介入
出版日期:
2010-09-15

文章信息/Info

Title:
Therapeutic evaluation of catheter-directed thrombolysis for the treatment of acute arterial ischemia of lower extremities
作者:
薛冠华梁卫黄晓钟叶猛王鹏张岚张皓张纪蔚
200127上海上海交通大学医学院附属仁济医院血管外科
Author(s):
XUE Guan-huaLIANG WeiHUANG Xiao-zhongYE MengWANG PengZHANG LanZHANG HaoZHANG Ji-wei.
Department of Vascular Surgery,the Affiliated Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai200127,China Corresponding author:ZHANG Ji-wei,E-mail:zhangjiwei001@sina.Com
关键词:
导管溶栓下肢动脉缺血
分类号:
R543.5
文献标志码:
A
摘要:
目的探讨导管溶栓治疗急性下肢动脉缺血的疗效和安全性。方法收集2008年1月1日至2009年12月31日就诊于我院急性下肢动脉缺血行导管溶栓治疗的病例共56例,采用尿激酶溶栓,观察溶栓治疗的效果和并发症。结果治愈10例(17.8%),有效38例(67.9%),无效8例(14.3%),总有效率为85.7%。发生并发症11例(19.6%);与导管溶栓直接相关的并发症6例(10.7%),包括穿刺点血肿5例(8.9%)和脑畸形血管破裂出血1例(1.7%)。结论导管溶栓是治疗急性下肢动脉缺血的较为安全、有效的方法。

参考文献/References:

[1]Zeller T,Tepe,G.Treatment of acute limb ischemia with focus on endovascular techniques[J].Vasa,2009,38:123-133.
[2]Mikita J,IIonczai P,Tóth J.Local thrombolysis in the treatment of peripheral arterial vascular diseases[J].Orv Hetil,2007,148:1737-1744.
[3]Alving BM,Francis CW,Hiatt WR,et al.Consultations on patients with venous or arterial diseases[J].Hematology,2003,2:540-543.
[4]Costantini V,Lenti M.Treatment of acute occlusion of peripheral arteries[J].Thromb Res,2002,106:285-294.
[5]Shammas NW,Dippel EJ ,Shammas G,et al.Dethrombosis of the lower extremity arteries using the power-pulse spray technique in patients with recent onset thrombotic occlusions:results of the DETHROMBOSIS Registry[J].J Endovasc Ther,2008,15:570-579.
[6]Comerota A,Sidhu R.Can intraoperative thrombolytic therapu assist with the management of acute limb ischemia[J].Semin Vasc Surg,2009,22:47-51.
[7]司同国,郭志.近期脑栓塞患者下肢动脉栓塞的溶栓治疗[J].介入放射学杂志,2008,17:359-362.
[8]Entz L,LaczkóA,BiiróG,et al.Arterial thrombolysis in the lower extremity in vascular surgical practice[J].Magy Seb,2007,60:501-505.
[9]Amonkar SJ,Cleanthis M,Nice C,et al.Outcomes of intra-arterial thrombolysis for acute limb ischemia[J].Angiology,2008,58:734-742.
[10]Breukink SO,Vrouenraets BC,Davies GA,et al.Thrombolysis as initial treatment of peripheral native artery and bypass graft occlusions in a general community hospital[J].Ann Vasc Surg,2004,18:314-320.

相似文献/References:

[1]司同国,郭志.近期脑栓塞患者下肢动脉栓塞的溶栓治疗[J].介入放射学杂志,2008,(05):359.
 SI Tongguo,GUO Zhi.Thrombolysis for acute lower limb arterial embolism in patients with recent cerebral embolism[J].journal interventional radiology,2008,(09):359.
[2]杨明,滕皋军,刘斌,等.64层CT下肢动脉成像技术及后处理策略[J].介入放射学杂志,2008,(05):353.
 YANG Ming,TENG Gaojun,LIU Bin,et al.Imaging technique and postprocessing of lower extremity arteries using64-slice CT[J].journal interventional radiology,2008,(09):353.
[3]李子川,杨军,耿树军,等.老年患者急性下肢动脉缺血介入溶栓及支架置入治疗[J].介入放射学杂志,2010,(08):651.
 LI Zichuan,YANG Jun,GENG Sujun,et al.The interventional intra-arterial thrombolysis of acute ischemia of lower limb in elderly patients[J].journal interventional radiology,2010,(09):651.
[4]曹振远 冷久成 何冰峰 张凌.下肢动静脉畸形的介入治疗[J].介入放射学杂志,2005,(04):413.
 CAO Zhen-yuan LENG Jiu-cheng HE Bing-feng ZHANG Ling.Interventional treatment of arteriovenous malformation in the lower extremities[J].journal interventional radiology,2005,(09):413.
[5]王忠.下肢深静脉血栓形成的病因及其综合治疗[J].介入放射学杂志,2005,(06):660.
 WANG Zhong.The etiology of deep venous thrombosis in the lower extremities and its synthetic therapies[J].journal interventional radiology,2005,(09):660.
[6]唐茂舜,钱晟,高文辉,等.介入性综合治疗下肢深静脉血栓的临床应用[J].介入放射学杂志,2009,(11):816.
 TANG Maoshun,QIAN Sheng,GAO Wenhui,et al.The clinical application of interventional therapy for lower limb deep venous thrombosis[J].journal interventional radiology,2009,(09):816.
[7]吴刚,顾建平,王书智,等.多层螺旋CT血管成像与DSA对照诊断下肢静脉阻塞性病变[J].介入放射学杂志,2008,(01):29.
 WU Gang,GU Jianping,WANG Shuzhi,et al.Comparative diagnosis of venous occlusive diseases of lower extremity through multi-slice CT angiography and DSA[J].journal interventional radiology,2008,(09):29.
[8]何旭,顾建平,楼文胜,等.介入法腔内射频闭合术治疗大隐静脉曲张[J].介入放射学杂志,2008,(01):33.
 HE Xu,GU Jianping,LOU Wensheng,et al.Endovenous radiofrequency obliteration of great saphenous varicosity[J].journal interventional radiology,2008,(09):33.
[9]汪涛,何旭,顾建平.下肢静脉曲张的微创治疗[J].介入放射学杂志,2008,(01):66.
 WANG Tao,HE Xu,GU Jianping.Minimally invasive treatment for varicose vein in lower limbs[J].journal interventional radiology,2008,(09):66.
[10]陈国平,顾建平,何旭,等.改良法与传统法下肢静脉造影术的对照研究[J].介入放射学杂志,2008,(01):7.
 CHEN Guoping,GU Jianping,HE Xu,et al.The comparative study of conventional and innovative phlebographies in lower extremity[J].journal interventional radiology,2008,(09):7.

备注/Memo

备注/Memo:
收稿日期:2010-05-05
更新日期/Last Update: 2010-09-15