动脉切开取栓联合股动脉置管治疗老年急性下肢动脉栓塞的疗效

The Curative Effect of Arterial Incision and Suppository Combined Femo ral Artery Placement in the Treatment of Senile Acute Lower Limb Arte-rial Embolism

目的探讨动脉切开取栓联合股动脉置管治疗老年急性下肢动脉栓塞的疗效。方法选取该院2013年4月—2017年4月收治的40例动脉切口取栓联合股动脉患者作为研究对象,分析患者的临床资料、保肢率、再栓塞率。结果患者术后ABI指数明显优于手术前(P<0.05)。40例患者,痊愈25例(62.50%),良好8例(20.00%),一般4例(10.00%),差2例(5.00%),截肢1例(2.50%)。结论动脉切开取栓联合股动脉置管应用于老年急性下肢动脉栓塞的治疗中,较为安全,值得在临床进一步探讨和推广。

Objective To investigate the curative effect of arterial dissection combined with femoral artery catheterization in the treatment of senile acute lower extremity arterial embolism. Methods The clinical data, limb retention rate and re-embolization rate of 40 patients with arterial incision thrombolytic femoral artery were analyzed. Results ABI was significantly better than that before operation(P<0.05). In 40 cases, 25(62.50 %) were cured, 8(20.00 %) were good, 4(10.00 %)were general, 2(5.00 %) were poor and 1(2.50 %) was amputated. Conclusion It is safe to treat acute lower limb arterial embolism with arterial incision and suppository femoral artery catheterization. It is worth studying in clinic.