摘要
目的评价导管取栓溶栓治疗肠系膜上动脉栓塞的疗效。资料与方法急性肠系膜上动脉栓塞11例患者(男7例,女4例,年龄61～81岁,风湿性心脏病并房颤7例,心肌梗死4例,合并小脑梗死1例,下肢动脉栓塞2例)采用6F导引导管、5F导管、颈动脉保护伞取栓导管溶栓术。结果11例患者均成功取出血栓,取栓溶栓后血管复通,2例患者开腹探查,1例切除坏死肠管,1例未见肠管坏死,无治疗相关并发症。结论导管取栓溶栓治疗肠系膜上动脉栓塞操作简便,能迅速恢复肠管血运,提高了临床治愈率。
Objective To evaluate the efficacy of transcatheter embolectomy and fibrinolysis for treatment of acute superior mesenterie artery embolism. Materials and Methods 11 cases （seven men, four women, aged 61 -81 years, rheumatic heart disease with atrial fibrillation in 7 cases, myocardial infarction in 4 cases, intercurrent cerebellar infarction in 1 case, lower limbs arterial embolism in 2 cases） of acute mesenteric artery embolism were treated with embolectomy and fibrinolysis using catheter method. Results Successful emboleetomy and recanalizations were achieved in all of the 11 superior mesenteric arterial embolism. 2 cases underwent laparotomy and 1 case underwent resection of necrotic bowel without any serious complications. Conclusion Transcatheter embolectomy and fibrinolysis are simple and effective methods for treatment of acute superior mesenteric artery embolism. Reeanalizations of artery were rapidly achieved after therapy, which will improve the curative effect.
出处
《临床放射学杂志》
CSCD
北大核心
2009年第7期991-993,共3页
Journal of Clinical Radiology
关键词
导管
栓子切除术
栓子
肠系膜上动脉
Catheter Embolectomy Embolism Superior mesenteric Artery
