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目的探讨Fogarty球囊导管取栓术及动脉置管溶栓联合应用治疗急性下肢动脉栓塞的有效性。方法回顾性分析62例行动脉导管取栓后置管溶栓的急性下肢动脉栓塞患者的临床资料。结果 62例患者均成功完成手术,其中61例患者保肢成功,成功率为98.39%;4例患者因再次血栓形成行动脉取栓术,其中1例行3次动脉取栓术;19例存在不同程度的感觉及运动障碍后遗症;1例死于术后急性脑栓塞。结论 Fogarty球囊导管取栓联合股动脉置管溶栓治疗急性下肢动脉栓塞的疗效明显,值得临床借鉴。
Objective To investigate the effectiveness of Fogarty balloon catheterization and arterial catheter thrombolysis in the treatment of acute lower extremity arterial embolism. Methods The clinical data of 62 patients with acute lower extremity arterial embolization who underwent catheterization and thrombolysis after catheterization were retrospectively analyzed. Results Totally 62 patients completed the operation successfully, of which 61 patients had successful limb salvage with a success rate of 98.39%. Four patients underwent thrombectomy for revascularization, of which 1 received arterial thrombectomy 3 times and 19 patients Different degrees of sensory and motor disorders sequelae; 1 patient died of acute cerebral embolism. Conclusion Fogarty balloon catheter thrombolysis combined with femoral artery catheter thrombolysis in the treatment of acute lower extremity arterial embolization has obvious curative effect and is worthy of clinical reference.