Fogarty导管取栓术治疗急性肢体动脉栓塞

Treatment of acute lower limb arterial embolisn by Fogarty catheter for remoral embolish

目的:探讨急性肢体动脉栓塞的临床诊治。方法:2004年1月～2007年3月,我院治疗急性肢体动脉栓塞患者56例,其中,腹主动脉骑跨栓3例,髂动脉11例,股动脉22例,腘动脉8例,胫前、胫后动脉4例,腋动脉1例,肱动脉5例,尺桡动脉2例,下肢动脉栓塞∶上肢动脉栓塞=6∶1。全部采用Fogarty导管取栓术加溶栓、抗凝、解痉药物治疗。结果:栓塞动脉及末梢动脉搏动恢复者38例,栓塞动脉搏动恢复、末梢动脉搏动未恢复12例,均未恢复6例。术后栓塞动脉继发血栓形成、再次手术4例。术后合并代谢性综合征9例,术后截肢(或截趾)7例,死亡3例。结论:急性肢体动脉栓塞是血管外科常见急症,尽早地诊断、及时采取相应的治疗措施,是治疗成功的关键。

Objective：To study clinical diagnosis and treatment for acute arterial embolism of extremities. Methods ：The surgical treatment was observed in 56 cases with acute arterial embolism of extremities admitted from Jan. 2000 to Mar. 2007. Embolism presented in the abdominal aorta in （3）,iliac artery（11）,femoral artery（22）,popliteal artery（8）,distal artery （4）,axillary artery（1）,brachial artery（5）,radial and ulnar artery （2）.Lower extremities：upper limbs = 6：1. Embolectomy performed on 56 patients by Fogarty catheter,thrombolysis and anticoagnlants. Results： Both embolismicartery and distal artery pulsed in（38）,ouly embolismic artery pulsed in （12）,neither embolismic artery nor distal artery pulsed in（6）,thromboses again in（4）,metabolic syndrome in（9）,amputation in （7）,death in （3）. Conclusion：The key for a successful treatment lies on proper diagnosis and embolectomy in acute arterial embolism.