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急性下肢缺血的杂交手术治疗

廖传军 张望德 宋盛晗 李谈 张杨

解放军医药杂志2015,Vol.27Issue(6):35-37,3.
解放军医药杂志2015,Vol.27Issue(6):35-37,3.DOI:10.3969/j.issn.2095-140X.2015.06.009

急性下肢缺血的杂交手术治疗

Hybrid Surgery in Treatment of Patients with Acute Lower Limb Ischemia

廖传军 1张望德 1宋盛晗 1李谈 1张杨1

作者信息

  • 1. 100020 北京,首都医科大学附属北京朝阳医院血管外科
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of hybrid surgery in treatment of patients with acute lower limb ischemia (ALLI). Methods Clinical data of 31 ALLI patients (35 limbs) undergoing emergent hybrid surgery during January 2006 and December 2011 was retrospectively analyzed. The average follow-up time was 12 months, and the patency, limb salvage and survival rates were also analyzed. Results Among the 31 patients, 9 patients were Fon-taineⅡ grade A, and 22 patients were Fontaine Ⅱ grade B. The successful rate of immediate surgery was 100%, and the average ankle/brachial index (ABI) value was increased from preoperative 0. 24 ± 0. 11 to postoperative 0. 72 ± 0. 15 (P<0. 05), and perioperative morbidity and mortality rates of complications were 16. 1% and 0 respectively, and the patency, limb salvage and survival rates of 12 months were 93. 3%, 96. 7% and 96. 8% respectively. Conclusion The hybrid surgery is a safe and effective treatment method for ALLI patients with multilevel lesions.

关键词

急性下肢缺血/杂交手术/血管成形术

Key words

Acute lower limb ischemia/Hybrid surgery/Angioplasty

分类

医药卫生

引用本文复制引用

廖传军,张望德,宋盛晗,李谈,张杨..急性下肢缺血的杂交手术治疗[J].解放军医药杂志,2015,27(6):35-37,3.

解放军医药杂志

OACSTPCD

2095-140X

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