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目的 探讨急性肢体动脉闭塞的血管内治疗方法和疗效。方法 采用血管内尿激酶溶栓术和经皮穿刺血管成形术 (PTA)治疗患者 12例 19段。男性 6例、女性 6例 ,年龄 2 8～ 85岁 ,平均 6 5岁。结果 溶栓治疗成功率 6 8.42 ( 13/ 19段 ) ,PTA治疗成功率 94.12 ( 16 / 17段 )。观察 6个月以上疗效满意率为 84.2 1% ( 16 / 19段 )。结论 局部溶栓是治疗急性肢体动脉闭塞的基本方法 ,大部分病例还需PTA治疗。作者提出血管再通后保留导管继续抗凝溶栓治疗 1～ 3d
Objective To investigate the endovascular treatment of acute limb artery occlusion and its curative effect. Methods Endovascular thrombolysis and percutaneous transluminal angioplasty (PTA) were performed in 12 patients with 19 segments. 6 males and 6 females, aged 28 to 85 years, with an average of 65 years. Results The success rate of thrombolytic therapy was 6 8.42 (13/19), and the success rate of PTA treatment was 94.12 (16/17). The satisfaction rate of 6 months or more was 84.2% (16/19). Conclusion Local thrombolysis is the basic method for the treatment of acute limb artery occlusion. Most cases require PTA. The authors suggest that catheterization should be continued after revascularization to continue anticoagulant thrombolysis for 1-3 days