[1]史帅涛,张克伟,王国权,等. 杂交手术在治疗肢体动脉栓塞疾病中的应用[J].介入放射学杂志,2014,(03):206-209.
 SHI Shuai? tao,ZHANG Ke? wei,WANG Guo? quan,et al. The application of hybrid technique in treating arterial embolism of limbs[J].journal interventional radiology,2014,(03):206-209.
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 杂交手术在治疗肢体动脉栓塞疾病中的应用 ()

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

卷:
期数:
2014年03期
页码:
206-209
栏目:
血管介入
出版日期:
2014-03-25

文章信息/Info

Title:
 The application of hybrid technique in treating arterial embolism of limbs
作者:
 史帅涛 张克伟 王国权 李 坤 符晓阳 李天晓 翟水亭
Author(s):
 SHI Shuai?蛳 tao ZHANG Ke?蛳 wei WANG Guo?蛳 quan LI Kun FU Xiao?蛳 yang LI Tian?蛳 xiao ZHAI Shui?蛳 ting.
 Department of Vascular and Endovascular Surgery, Henam Province People’s Hospital, Zhengzhou, Henan Province 450003, China
关键词:
 【关键词】 动脉栓塞 Fogarty导管 腔内治疗 杂交手术
文献标志码:
A
摘要:
 【摘要】 目的 探讨DSA下采用杂交手术(动脉切开取栓联合腔内治疗)治疗肢体动脉栓塞的临床效果。方法 2011年6月—2013年6月对82例91条(上肢8条,下肢83条)肢体动脉栓塞患者采用杂交手术进行治疗。术中常规行肢体动脉造影,导丝通过栓塞部位,沿导丝送入Fogarty导管进行单纯取栓或球囊辅助下取栓,术后根据复查造影结果,选择联合应用腔内置管溶栓术、球囊扩张成形术或支架植入术。术后随访3 ~ 36个月,观察患肢缺血症状改善情况、保肢率等。结果 82例患者共91条肢体均手术成功,其中球囊辅助下取栓6条,取栓后联合置管溶栓24条,联合球囊扩张成形术11条,联合支架植入术4条。术后保全肢体76条,保肢率83.5%,遗留功能障碍11条,肢体完全康复65条,占71.4%,死亡7例。随访期间原病变血管血流保持通畅。结论 杂交技术治疗肢体动脉栓塞有较高的保肢率和治愈率,效果良好。

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备注/Memo

备注/Memo:
 (收稿日期:2013-10-11)
更新日期/Last Update: