现代医药卫生2025，Vol.41Issue(6)：1354-1357,4.DOI:10.3969/j.issn.1009-5519.2025.06.014
取栓术联合腔内技术治疗急性下肢动脉缺血的疗效分析
Analysis of the therapeutic effect of thrombectomy combined with endovascular techniques in the treatment of acute lower extremity arterial ischemia
赵晓旭 1鲁达 1温志国1
作者信息
- 1. 洛阳市中心医院血管外科/洛阳市脑血管(脑卒中)疾病临床研究中心,河南 洛阳 471000
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摘要
Abstract
Objective To investigate the clinical effect of thrombectomy combined with endovascular technique in the treatment of acute lower limb ischemia(ALLI).Methods A total of 224 patients diagnosed with ALLI in the hospital from January 2019 to December 2022 were collected and divided into thrombectomy group(88 cases)and compound operation group(136 cases)according to the operation method.The thrombec-tomy group received Fogarty balloon catheter thrombectomy,and the combined operation group received Fog-arty balloon catheter thrombectomy combined with endovascular technique.The operation time,postoperative hospital stay and postoperative complications of the two groups were compared,and the follow-up results of the two groups were analyzed.Results The success rates of the two groups were 100%.There was significant difference in the operation time between the two groups(P<0.001).There were no significant differences in postoperative hospital stay and incidence of postoperative complications between the two groups(P>0.05).There was significant difference in vascular patency rate at 1 and 6 months after operation between the two groups(P<0.05).There were no significant differences in mortality at 1 month after operation,vascular pa-tency rate at 12 and 24 months after operation,secondary vascular reconstruction rate and amputation rate be-tween the two groups(P>0.05).Conclusion Thrombectomy combined with endovascular techniques can de-tect some hidden lesions with a higher incidence rate and has a higher early vascular patency rate.It can be used as the preferred treatment option for ALLI.关键词
急性下肢动脉缺血/取栓术/动脉造影Key words
Acute lower extremity arterial ischemia/Thrombectomy/Arteriography分类
医药卫生引用本文复制引用
赵晓旭,鲁达,温志国..取栓术联合腔内技术治疗急性下肢动脉缺血的疗效分析[J].现代医药卫生,2025,41(6):1354-1357,4.
