| 刘现虎,李建军.急性下肢缺血杂交手术治疗策略[J].济宁医学院学报,2016,39(3):210-214 |
| 急性下肢缺血杂交手术治疗策略 |
| Surgical therapeutic strategies for acute limb ischemia |
| 投稿时间：2016-04-27 |
| DOI：10.3969/j.issn.1000-9760.2016.03.016 |
| 中文关键词: 下肢缺血;手术治疗;腔内介入治疗;球囊扩张 |
| 英文关键词: Lower extremity ischemia;Operative procedures;Endovascular procedures;Balloon dilation |
| 基金项目: |
| 作者 | 单位 | | 刘现虎 | 济宁医学院, 济宁 272067 | | 李建军 | 济宁医学院, 济宁 272067 |
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| 中文摘要: |
| 急性下肢缺血是血管外科面临的最具潜在危险性的疾病之一。早期治疗对挽救肢体甚至生命至关重要。目前治疗急性动脉栓塞最常用的方法是切开动脉Fogarty导管取栓术。尽管手术成功率非常高,但是临床疗效不理想,这与球囊导管不能达到末梢动脉,残留血栓致使血流不完全灌注有关。在这种情况下,通过细致的术中评估,用杂交手术来解决残留血栓、动脉粥样硬化性狭窄甚至球囊导管导致的二次损伤,能克服传统手术的局限性,同时急性下肢缺血的手术治疗策略也尤为重要,本文就此作一综述。 |
| 英文摘要: |
| Acute limb ischemia (ALI) is one of the most potentially dangerous disease to the vascular surgeon.It is crucial to intervene early for salvaging limb or saving life.The most efficient treatment for acute arterial embolism is embolectomy using Fogarty's balloon catheter.Although the early outcome of arterial thromboembolectomy often acceptable,the efficacy still remains unsatisfactory.This may be related to the residual thrombus in distal vessels which did not reach by the balloon catheter.In such a situation of a painstaking and intraoperative assessment the enough of clot removal is important.Residual thrombus,chronic atherosclerotic disease and even vessel injuries secondary to balloon catheter passage can be corrected by hybrid procedures.The combination of surgical and endovascular options may overcome the limitations that characterize the traditional approach.The surgical therapeutic strategies of acute limb ischemia are particularly important.This review summarizes that the disease until now. |
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