摘要
目的探讨数字减影血管造影(DSA)下行肢体动脉切开取栓手术治疗急性肢体缺血的临床应用效果。方法收集该院2012-09~2019-06接受DSA下肢体动脉切开取栓手术的74例急性肢体缺血患者(共79条患肢)的临床资料,回顾性分析保肢率、手术方式、膝下动脉开通比例、并发症及随访结果,用以评价手术疗效。结果所有74例急性肢体缺血患者均顺利完成手术,术中均未发生与操作相关并发症,61例患者(共64条患肢)成功保肢,保肢率为81.01%(64/79)。其中59例下肢手术患者中,胫前动脉总开通率为83.05%(49/59),胫后动脉总开通率为72.88%(43/59),腓动脉总开通率为84.75%(50/59)。有效随访的61例患者无手术并发症导致死亡的病例。结论DSA下肢体动脉切开取栓手术治疗急性肢体缺血,有利于提高保肢成功率,减少操作相关并发症发生。
Objective To investigate the clinical efficacy of arterial embolectomy assisted with intraoperative digital subtraction angiography(DSA)in treatment of acute limb ischemia(ALI).Methods The clinical data of 74 patients(a total of 79 affected limbs)undergoing arterial embolectomy assisted with intraoperative DSA between September 2012 and June 2019 were collected,and the patients′limb salvage rate,surgical procedures,recanalization ratio of inferior genicular artery,complications and following-up results were retrospectively analyzed to evaluate the surgical effects.Results The operations were successfully completed on all the 74 patients with ALI,and no operation-related complications occurred during the operations.Sixty-one cases(64 affected limbs in total)succeeded in limb salvage,with a limb salvage rate of 81.01%(64/79).Among the 59 patients undergoing lower limb surgery,the total anterior tibial artery recanalization rate was 83.05%(49/59),and the total posterior tibial artery recanalization rate was 72.88%(43/59),and the total peroneal artery recanalization rate was 84.75%(50/59).There were no postoperative complications leading to death in 61 patients with effective follow-ups.Conclusion Arterial embolectomy assisted with intraoperative DSA in treatment of ALI can improve the success rate of limb salvage and reduce the incidence of complications related to the operation.
作者
农建文
王春明
韦艳华
余雷
NONG Jian-wen;WANG Chun-ming;WEI Yan-hua(General Interventional Department, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China)
出处
《中国临床新医学》
2020年第3期236-240,共5页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
数字减影血管造影
动脉切开取栓
急性肢体缺血
Digital subtraction angiography(DSA)
Arterial embolectomy
Acute limb ischemia(ALI)
