中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2015年
1期
13-18
,共6页
傅军%李选%韩金涛%王昌明%栾景源%李天润%翟国钧%冯琦琛%庄金满%赵军%董国祥
傅軍%李選%韓金濤%王昌明%欒景源%李天潤%翟國鈞%馮琦琛%莊金滿%趙軍%董國祥
부군%리선%한금도%왕창명%란경원%리천윤%적국균%풍기침%장금만%조군%동국상
肺栓塞%介入治疗
肺栓塞%介入治療
폐전새%개입치료
Pulmonary embolism%Intervention therapy
目的：探讨高危肺栓塞进行介入治疗的安全性及有效性。方法回顾性分析2002年12月～2012年9月94例高危肺栓塞接受术中取栓、术中快速溶栓及术后溶栓抗凝、机械碎栓等手段治疗的临床资料，观察术后生命体征、心功能变化及病情转归，总结随访结果。结果技术成功率98．9％（1例未完成手术操作即死亡）；围手术期死亡6例。72例平均随访33．5月（13～130个月），16例失访，随访率81．8％（72／88）。心功能分级：Ⅰ级68例，Ⅱ级3例，Ⅳ级1例，按照我们疗效标准，完全缓解68例（94．4％，68／72），部分缓解3例（4．2％，3／72），无效1例（1．4％，1／72）。结论高危肺栓塞介入治疗是有效的方法，可快速有效改善高危PE患者的预后。
目的：探討高危肺栓塞進行介入治療的安全性及有效性。方法迴顧性分析2002年12月～2012年9月94例高危肺栓塞接受術中取栓、術中快速溶栓及術後溶栓抗凝、機械碎栓等手段治療的臨床資料，觀察術後生命體徵、心功能變化及病情轉歸，總結隨訪結果。結果技術成功率98．9％（1例未完成手術操作即死亡）；圍手術期死亡6例。72例平均隨訪33．5月（13～130箇月），16例失訪，隨訪率81．8％（72／88）。心功能分級：Ⅰ級68例，Ⅱ級3例，Ⅳ級1例，按照我們療效標準，完全緩解68例（94．4％，68／72），部分緩解3例（4．2％，3／72），無效1例（1．4％，1／72）。結論高危肺栓塞介入治療是有效的方法，可快速有效改善高危PE患者的預後。
목적：탐토고위폐전새진행개입치료적안전성급유효성。방법회고성분석2002년12월～2012년9월94례고위폐전새접수술중취전、술중쾌속용전급술후용전항응、궤계쇄전등수단치료적림상자료，관찰술후생명체정、심공능변화급병정전귀，총결수방결과。결과기술성공솔98．9％（1례미완성수술조작즉사망）；위수술기사망6례。72례평균수방33．5월（13～130개월），16례실방，수방솔81．8％（72／88）。심공능분급：Ⅰ급68례，Ⅱ급3례，Ⅳ급1례，안조아문료효표준，완전완해68례（94．4％，68／72），부분완해3례（4．2％，3／72），무효1례（1．4％，1／72）。결론고위폐전새개입치료시유효적방법，가쾌속유효개선고위PE환자적예후。
Objective To explore the safety and efficacy of interventional therapy for high-risk pulmonary embolism. Methods We retrospectively analyzed 94 cases of high-risk pulmonary embolism who received interventional therapy ( thrombectomy, rapid thrombolysis plus anticoagulation, or mechanical embolus removal) from December 2002 to September 2012.Vital signs, heart functions, and clinical outcomes were observed and compared. Results Among the 94 cases, the success rate of operation was 98.9%(1 patient died during the interventional procedure).Six patients died after operation.In the remaining 88 cases, loss of follow-up occurred in 16 cases and 72 cases were followed for an average of 23.5 months (13-130 months), the rate of follow-up being 81.8%(72/88) .The cardiac functions were classified as class Ⅰ in 68 cases, class Ⅱ in 3 cases, and class Ⅳ in 1 case. According to our criteria, there were 68 cases of complete remission (94.4%, 68/72), 3 cases of partial improvement (4.2%, 3/72), and 1 case of inefficacy (1.4%, 1/72). Conclusion Interventional treatment for high-risk pulmonary embolism is an effective procedure, which can quickly and efficiently improve the prognosis and the life quality.
