急性髂动脉阻塞的外科处理

SURGICAL TREATMENT OF ACUTE OCCLUSION OF ILIAC ARTERY

本文报告3例髂动脉阻塞,分别为急性动脉栓塞、动脉粥样硬化继发血栓形成及自发性动脉内膜分离。临床上均以下肢急性缺血为主要症状,经对侧股动脉插管造影可以作出鉴别诊断。3例分别经取栓术、动脉内膜剥脱术及动脉内膜固定术处理,取得良好疗效。

One each case of acute embolism of right common iliac artery, secondary thrombosis of atherosclerotic right external iliac artery and intimal dissection of the right common iliac artery were treated. They had similar clinical signs and the diagnoses were made by arteriography through catheterization to the opposite femoral artery. The method of operation depended on the cause of iliac obstruction. These 3 patients were treated by embolectomy, endarterectomy and fixation of dissected intima respectively. Excellent results were obtained.