中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
10期
24-25,26
,共3页
动脉切开取栓术%中青年%急性下肢动脉栓塞
動脈切開取栓術%中青年%急性下肢動脈栓塞
동맥절개취전술%중청년%급성하지동맥전새
Embolectomy%Youth%Acute lower limb arterial embolism
目的：分析运用动脉切开术治疗中青年下肢动脉栓塞的临床疗效。方法选择到本院就诊的急性下肢动脉中青年患者74例，均符合动脉切开取栓指征，进行动脉切开取栓术。分别比较其手术前后的踝肱指数(ABI)，以及术后并发症、截肢率和死亡率的相关情况。结果动脉切开取栓术前后患者踝肱指数有显著的提高(P<0.05)。术后总的并发症发生率为5.4%。术后截肢率为8.1%、死亡率为5.4%。结论动脉切开取栓术治疗中青年急性下肢动脉栓塞疗效佳，踝肱指数有显著提高，并发症出现率、截肢率和死亡率较低。
目的：分析運用動脈切開術治療中青年下肢動脈栓塞的臨床療效。方法選擇到本院就診的急性下肢動脈中青年患者74例，均符閤動脈切開取栓指徵，進行動脈切開取栓術。分彆比較其手術前後的踝肱指數(ABI)，以及術後併髮癥、截肢率和死亡率的相關情況。結果動脈切開取栓術前後患者踝肱指數有顯著的提高(P<0.05)。術後總的併髮癥髮生率為5.4%。術後截肢率為8.1%、死亡率為5.4%。結論動脈切開取栓術治療中青年急性下肢動脈栓塞療效佳，踝肱指數有顯著提高，併髮癥齣現率、截肢率和死亡率較低。
목적：분석운용동맥절개술치료중청년하지동맥전새적림상료효。방법선택도본원취진적급성하지동맥중청년환자74례，균부합동맥절개취전지정，진행동맥절개취전술。분별비교기수술전후적과굉지수(ABI)，이급술후병발증、절지솔화사망솔적상관정황。결과동맥절개취전술전후환자과굉지수유현저적제고(P<0.05)。술후총적병발증발생솔위5.4%。술후절지솔위8.1%、사망솔위5.4%。결론동맥절개취전술치료중청년급성하지동맥전새료효가，과굉지수유현저제고，병발증출현솔、절지솔화사망솔교저。
Objective To analyze the clinical effect of artery incision for acute lower limb arterial embolism in youth embolectomy. Methods To choose the hospital for treatment of acute lower extremity arterial young patients with 74 cases, were in line with the thromboendarterectomy indications, arterial embolectomy. The operation were compared before and after the ankle brachial index (ABI), as well as related complications, amputation rate and mortality. Results Embolectomy patients with ankle brachial index increased significantly (P<0.05). The overall postoperative complication rate was 5.4%. After the amputation rate was 8.1%, mortality was 5.4%. Conclusion Arteriotomy efficacy youth embolectomy for acute lower limb arterial embolism in good, ankle brachial index increased significantly, the incidence of complications, amputation rate and low mortality.
