【摘要】 目的探讨急性下肢缺血的诊疗方法和疗效。方法 109例急性下肢缺血患者,其中,2000年1月~2007年12月行动脉切开Fogarty导管取栓治疗56例作为动脉切开组;2008年1月~2016年6月行腔内介入治疗53例作为腔内介入组,比较两组治疗效果。结果动脉切开组救肢成功38例,截肢8例,死亡10例;腔内介入组救肢成功50例,截肢1例,死亡2例,两组比较差异有统计学意义(P<0.05)。结论个体化腔内介入治疗急性下肢缺血患者能明显降低截肢率及死亡率,提高救肢成功率。更多还原

【Abstract】 Objective To explore the diagnosis and treatment in acute lower extremity ischemia and its curative effect. Methods Among 109 acute lower extremity ischemia patients, there were 56 patients received artery incision Fogarty catheter for thrombectomy treatment from January 2000 to December 2007 as artery incision group, and 53 patients received endovascular intervention treatment from January 2008 to June 2016 as endovascular intervention group. Treatment effect was compared in two groups. Results The artery incision group had 38 successful limb salvage cases, 8 amputation cases and 10 death cases, while the endovascular intervention group had 50 successful limb salvage cases, 1 amputation case and 2 death cases. There was statistically significant difference in two groups(P<0.05). Conclusion Individualized endovascular interventional therapy can reduce the amputation rate and mortality rate, and improve the limb salvage rate.更多还原