急性下肢缺血67例诊治分析

山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (3): 87-89.

急性下肢缺血67例诊治分析

张弘1，姜海军1，杨植1，张小明2

1.承德医学院附属医院普外二科、血管外科，河北承德 067000；
2.北京大学人民医院血管外科，北京 100044

收稿日期:2011-12-19 出版日期:2012-03-10 发布日期:2012-03-10
作者简介:张弘(1977- )，男，硕士研究生，主治医师，主要从事血管外科研究。

Diagnosis and treatment of 67 cases with acute leg ischemia

ZHANG Hong1, JIANG Hai-Jun1, YANG Zhi1, ZHANG Xiao-ming2

1. Second Department of General Surgery， Department of Vascular Surgery, Affiliated Hospital of
Chengde Medical College, Chengde 067000, Hebei, China;
2. Department of Vascular Surgery, Peking University People′s Hospital, Beijing 100044, China

Received:2011-12-19 Online:2012-03-10 Published:2012-03-10

摘要/Abstract

摘要：

目的探讨急性下肢缺血的诊断和治疗方法。方法回顾分析2003年9月至2010年3月收治的67例急性下肢缺血患者的病因、治疗方法及预后等临床资料。结果手术治疗58例，其中单纯下肢动脉切开Fogarty管取栓32例，下肢动脉切开Fogarty管取栓加腔内治疗20例，下肢动脉切开Fogarty管取栓加血管旁路转流4例，主动脉夹层支架植入术2例；保守治疗9例。通过积极治疗保肢59例(88.1%)，截肢5例(7.4%)，死亡3例(4.5%)。结论根据急性下肢缺血的不同病因采用个体化治疗方案可取得满意临床效果。

关键词: 回顾分析；急性下肢缺血；取栓；腔内治疗；人工血管转流

Abstract:

Objective To study the diagnosis and treatment of patients with acute leg ischemia. Methods The etiology, therapeutic methods, prognosis and other clinical data were retrospectively analyzed for 67 patients with acute leg ischemia, who were hospitalized from September 2003 to March 2010. Results Among the 67 patients, 58 accepted surgery, including leg arterial cut and Fogarty catheter thrombectomy in 32, leg arterial cut and Fogarty catheter thrombectomy with endovascular therapy in 20, leg arterial cut and Fogarty catheter thrombectomy with artificial vascular bypass in 4, and leg arterial cut and interlayer frame implantation in 2. The other 9 accepted conservative therapy. The final results were leg salvage in 59(88.1%), amputation in 5(7.4%), and death in 3(4.5%). Conclusion To get a satisfactory clinical result, an individual therapeutic scheme should be carried out for acute leg ischemia with different etiologies.

Key words: Retrospective analysis; Acute legs ischemia; Thrombectomy; Endovascular therapy; Artificial vascular bypass

中图分类号:

R543.5

张弘1，姜海军1，杨植1，张小明2. 急性下肢缺血67例诊治分析[J]. 山东大学学报(医学版), 2012, 50(3): 87-89.

ZHANG Hong1, JIANG Hai-Jun1, YANG Zhi1, ZHANG Xiao-ming2. Diagnosis and treatment of 67 cases with acute leg ischemia[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(3): 87-89.

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