【摘要】 目的:探讨杂交手术治疗下肢急性缺血(ALI)的临床疗效。方法:回顾性分析2011年3月—2014年4月行开放手术联合腔内技术治疗的43例患者46条ALI肢体临床资料。结果:手术技术成功率为97.7%(42/43),血栓残留率为7.0%(3/43),术后平均踝肱指数为0.85±0.48。9例(20.9%)因骨筋膜室综合征进行了切开减压术,围手术期截肢3例(7.0%),截趾1例(2.3%),死亡3例(7.0%)。1例术后3个月因脑卒中死亡,35例完成了至少12个月的随访,期间2例股腘动脉支架植入患者出现了再狭窄。结论:杂交手术治疗ALI技术成功率高,血栓残留率低,可以一期取出血栓和治疗血管病变,具有临床应用价值。更多还原

【Abstract】 Objective:To investigate the clinical efficacy of hybrid procedures in treatment of acute limb ischemia(ALI).Methods:The clinical data of 43 patients with 46 ALI limbs undergoing combination treatment of conventional surgery and endovascular techniques between March 2011 and April 2014 were retrospectively analyzed.Results:The technical success rate was 97.7%(42/43),residual thrombosis rate was 7.0%(3/43),and the average ankle-brachial index after operation was 0.85±0.48.Nine patients(20.9%) developed osteofascial compartment syndrome and underwent open decompression,and during perioperative period,3 patients(7.0%) underwent extremity amputation,one patient(2.3%) had toe amputation,and 3 patients(7.0%) died.One patient died of cerebral infarction 3 months after operation,and 35 patients were followed-up for more than 12 months,during which time,restenosis occurred in 2 cases who had popliteal artery stent placement.Conclusion:In the treatment of ALI,hybrid surgery shows high technical success rate and low residual thrombosis rate,thrombus removal and vascular reconstruction can be simultaneously conducted,and is worthy of clinical application.更多还原