| 手术联合腔内治疗合并动脉硬化的急性下肢动脉缺血23例临床观察 |
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| 引用本文： | 卢辉俊,赵翼,胡亚立,刘辉.手术联合腔内治疗合并动脉硬化的急性下肢动脉缺血23例临床观察[J].中国现代普通外科进展,2011,14(10):784-786. |
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| 作者姓名： | 卢辉俊 赵翼 胡亚立 刘辉 |
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| 作者单位： | 南京医科大学附属无锡市人民医院血管外科,江苏无锡,214023 |
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| 摘 要： | 目的：探讨手术联合腔内的方法治疗合并动脉硬化狭窄的急性下肢动脉缺血高龄患者的技术要点及疗效。方法：回顾性分析2008年9月-2010年9月收治的23例（26肢）合并动脉硬化的下肢动脉缺血高龄患者DSA下行腔内联合手术治疗的临床资料和治疗效果。结果：26条肢体（23例）经双腔Fogarty导管取栓、动脉内膜剥脱术，并行相应球囊扩张加支架置入术，或辅助人工皿管旁路手术或／和自体静脉补片成形术，救治成功20例（87．0％），截肢1例（4．3％），死亡2例（8．7％）。结论：伴有全身动脉粥样硬化的大多数动脉缺血高龄患者，手术联合腔内的个体化治疗方案，有助于提高重建下肢动脉供血的救治率。
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| 关 键 词： | 动脉缺血 动脉硬化狭窄 手术 腔内治疗 个体化 |
Treatment of acute arterial ischemia in lower extremity elderly patients with arteriosclerosis stenosis by surgery combined with endovascular |
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| LU Hui-jun,ZHAO Yi,HU Ya-fi,LIU Hui.Treatment of acute arterial ischemia in lower extremity elderly patients with arteriosclerosis stenosis by surgery combined with endovascular[J].Chinese Journal of Current Advances in General Surgery,2011,14(10):784-786. |
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| Authors: | LU Hui-jun ZHAO Yi HU Ya-fi LIU Hui |
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| Institution: | LU Hui-jun,ZHAO Yi,HU Ya-li,LIU Hui Department of Vascular Surgery,Wuxi People's Hospital Affiliated to Nanjing Medical University(Wuxi 214023,China) |
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| Abstract: | Objective: To explore the clinical results and technical outlines of individualism surgery combined with endovascular in treating acute arterial ischemia in lower extremity elderly patients with arteriosclerosis stenosis.Methods: Datas of 23 acute arterial ischemia in lower extremity elderly patients with arteosclerosis stenosis receiving DSA or C-arm machine comprehensive therapy under monitoring from September 2008 to September 2010 were analyzed.Result: The extremities were saved successfully through act... |
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| Keywords: | Arterial ischemia Arteriosclerosis stenosis-Surgery Endovascular treatment Individualism |
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