周围动脉狭窄和栓塞症的介入治疗应用与临床疗效探讨

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1、周I刊动脉狭窄和栓塞症的介入治疗应用与临床疗效探讨【关键词】疗效探讨【摘要】H的研究川选择性介入留管灌注治疗周围动脉狭窄或闭塞性疾病的临床应用。方法40例周围动脉狭窄或闭塞的病人随机分两组。介入纽.采用动脉穿刺并留管灌注尿激酶，对照组静点尿激酶，疗程为10天。疗前疗后，通过多谱勒超声，数字剪影血管造彩的检测进行疗效对比。结杲介入组临床治愈55%,显效35%,好转10%,总有效率100%o対照组临床治愈35%,显效15%,好转40%,总有效率90%o结论选择性介入留管灌注能迅速改善肢体动脉供血，促进•血栓溶解和血管再通，対坏疽性肢体有明显镇痛和解除血管痉挛的作用，使诊治融为一体，并提出留管规律性

2、时限为2周内。关键词选择性介入留管灌注数字剪影血管造影狭窄或闭塞性血管病ClinicstudyonthevalueoftheselectiveintervenientnperfusionintrecotmentofstenosisandobliterationoftheperepheralarteryGuoXinyi,LaiTingmei,ChenFulai,etal

3、.HarbinNo.1Hospital,Harbin150010.[Abstract]ObjectiveTostudythevalueoftheselectiveintervenientcatheterperfusioninthediagnosisandtreatmentofthestenosisandobliterationoftheperepheralartery.Methods40caseswithstenotisandobliterativediseasesweredevidedintwogroupsacco

4、rdingtorandomallocutionArteriopuncturewasperformedandperfuseduroki一nasethroughindwellingcatheterintheintervenientgroup,Urokinasewasusedbyintravenousdripinthecontrolgroup,bothcourseoftreatmentwereIOdays.ComparedthetherapeuticaleffectswithultrosonicdopplerandDigitalsubtractionangiographybeforeandafter

5、treatment.ResultsIntheintervenientgroup,caseswerecurewithrateof55%,caseswereobviouslyeffectivewithrateof35%,andcaseswithbetterthanbeforewithrateoflO%,Thetotaleffectiveratewere100%.Inthecontrolgroup,caseswerecure,35%,caseswereobriouslyeffective15%,andcaseswerebetterthanbefore,40%,Thetotaleffectiverat

6、ewere90%.ConclusionTheselectiveintervenientindwellingcatheterperfusioncouldimprovebloodsupplyofextremitalarteryrapidly,promotethrompidissolutionandrevasculari'sation.ltalsohadtheeffectofanalgesiaandrelievedspasmofvessels;itmadediagnosisandtreatmenttogether,andtheproposedregularlimittimeofindwellingc

7、atheterwas2weeks・Keywordsselectiveintervenientindwlellingcatheterperfusiondigitalsubtractionangiographystenosisandobliterativevasodisease周鬧动脉狭窄和血栓闭塞性疾病，在周围血管疾病中占首位，其中动脉硬化闭塞症、血栓闭塞性脉管炎最为常见。近儿年介入放射学作为一门新