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首页|期刊导航|河北医学|DSA下Fogarty球囊导管在断肢(指)再植术后 血管危象中应用的临床研究

DSA下Fogarty球囊导管在断肢(指)再植术后 血管危象中应用的临床研究

李小东 严晓薇 刘士波 王培

河北医学2017,Vol.23Issue(9):1412-1415,4.
河北医学2017,Vol.23Issue(9):1412-1415,4.DOI:10.3969/j.issn.1006-6233.2017.09.002

DSA下Fogarty球囊导管在断肢(指)再植术后 血管危象中应用的临床研究

Clinical Study of Fogarty Balloon Catheter Under DSA in Vascular Crisis after Replantation of Limb ( finger)

李小东 1严晓薇 1刘士波 1王培1

作者信息

  • 1. 承德医学院附属医院, 河北 承德 067000
  • 折叠

摘要

Abstract

Objective:To observe the clinical effect of Fogarty balloon catheter under DSA in vascular crisis after replantation of limb ( finger) . Methods: From January 2010 to January 2016, 23 patients under-went a vascular crisis with Fogarty balloon catheter in the DSA, 21 patients survived, and the incision was healed, 1 case of acute heart failure, cardiac medical treatment, recovery is good. 1 case of osteofascial com-partment syndrome, to be surgical treatment, recovery is good. 2 cases of postoperative vascular crisis again, line incision exploration, 1 case of successful treatment, 2 cases of arterial occlusion, limb partial necrosis, amputation. Results:Exclude 2 patients with incision exploration, of the 21 patients treated with Fogarty cath-eter, an average follow-up of 10 months (6 months to 28 months), limb blood supply improved, and arterial pulsation, swelling improved, sensory improvement, activity improve. According to CMA hand surgery branch of the limb replantation function evaluation criteria evaluation of the efficacy of this group of excellent 12 ca-ses, good in 6 cases, poor in 3 cases, excellent rate of 85.7%. Conclusion:Fogarty balloon catheter was used in DSA to determine the vascular crisis after the replantation of the limb ( finger ) , and the clinical curative effect was determined.

关键词

Fogarty球囊导管/断肢(指)/再植术/血管危象/数字减影血管造影

Key words

Fogarty balloon catheter/Limb ( finger )/Replantation/Vascular crisis/Digital subtraction angiography

引用本文复制引用

李小东,严晓薇,刘士波,王培..DSA下Fogarty球囊导管在断肢(指)再植术后 血管危象中应用的临床研究[J].河北医学,2017,23(9):1412-1415,4.

基金项目

承德市科学技术研究及发展计划项目,(编号:201422043) (编号:201422043)

河北医学

OACSTPCD

1006-6233

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