摘要
目的 探讨机械性血栓抽吸治疗急性下肢动脉栓塞的临床效果。方法 回顾性分析2009年1月至2014年2月解放军第148中心医院收治的92例急性下肢动脉栓塞患者。所有患者均接受急症经皮穿刺下肢动脉造影,明确血栓部位和范围后即行机械性血栓抽吸并反复数次,造影评估血流通畅程度;对血栓清除不彻底者,辅助予药物溶栓。结果 92例下肢动脉栓塞患者手术成功率100%。89例获随访6-36个月,85例血管保持通畅,4例再次血栓形成,再行机械性血栓抽吸后血流迅速通畅。89例随访患者中无截肢发生。结论 机械性血栓抽吸治疗急性下肢动脉栓塞,能够迅速清除血栓、恢复血流,临床效果满意。
Objective To investigate the clinical effect of mechanical aspiration thrombectomy for acute arterial embolism of lower extremities. Methods The clinical data of 92 patients with acute arterial embolism of lower extremities, who were admitted to No.148 Central Hospital of PLA during the period from January 2009 to February 2014, were retrospectively analyzed. Emergency angiography of lower extremity was performed in all patients, and a couple of times of mechanical aspiration thrombeetomy were carried out when the site and extent of arterial thrombus were determined by angiography. Blood flow patency degree was evaluated by angiography. Adjuvant drug thrombolysis was employed for patients whose thrombus was incompletely removed. Results The mechanical aspiration thrombectomy was successfully accomplished in all 92 patients with a success rate of 100%. Eighty-nine patients were followed up for 6-36 months. During the follow-up period the artery remained patency in 85 patients; and thrombosis occurred again in other 4 patients, and the blood flow became promptly patency after mechanical aspiration thrombectomy was carried out ones more. No amputation surgery was needed to be done in all 89 patients during the follow-up period. Conclusion For the treatment of acute arterial embolism of lower extremities, mechanical aspiration thrombectomy can promptly remove thrombus, instantly restore the blood flow, and its clinical effect is satisfied.
出处
《介入放射学杂志》
CSCD
北大核心
2015年第11期954-956,共3页
Journal of Interventional Radiology
关键词
机械性血栓抽吸
下肢
动脉栓塞
药物溶栓
介入性
mechanical aspiration thrombectomy
lower extremity
arterial embolism
drugthrombolysis
intervention
