球囊导管取栓术治疗急性下肢动脉栓塞患者的体会

Experience of balloon catheterization in the treatment of patients with acute lower extremity arterial embolization

目的探讨球囊导管取栓术治疗急性下肢动脉栓塞患者的临床疗效。方法回顾性分析祈福医院2013年1月至2018年12月应用球囊导管微创取栓术治疗的78例急性下肢动脉栓塞患者的临床资料。结果治愈60例,治愈率为89.6%,患肢血供恢复。好转7例(10.4%),肢体缺血症状明显好转。全部患者无截肢。死亡1例(2.6%)。结论球囊导管取栓术是治疗急性动脉栓塞的有效方法,患者一经确诊应尽早手术取栓,有利于提高其保肢率和降低病死率。

Objectives To investigate the clinical effect of balloon catheterization for patients with acute lowerextremity artery embolization.MethodsThe clinical data of 78 patients with acute lower extremity artery embolizationtreated with balloon catheter minimally invasive embolization from January 2013 to December 2018 in Clifford Hospitalwere retrospectively analyzed.ResultsSixty cases were cured and the cure rate was 89.6%.In 7 cases(10.4%),thesymptoms of limb ischemia were significantly relieved.No amputation occurred in all patients.One patient(2.6%)died.ConclusionsBalloon catheterization is an effective method for the treatment of patients with acute arterial embolization.Balloon catheterization should be performed as soon as possible once patients are diagnosed,in order to increase limbsalvage rate and decrease mortality.