| 王冬芽,黄亮辉,万晓斌,杨兴龙,何崇武,刘强.自制取栓导管在急性肠系膜上动脉栓塞治疗中的临床应用[J].井冈山大学自然版,2019,40(5):96-100 |
| 自制取栓导管在急性肠系膜上动脉栓塞治疗中的临床应用 |
| CLINICAL APPLICATION OF SELF-MADE CATHETER IN THE TREATMENT OF ACUTE SUPERIOR MESENTERIC ARTERY EMBOLIZATION |
| 投稿时间：2019-05-09 修订日期：2019-06-09 |
| DOI：10.3969/j.issn.1674-8085.2019.05.019 |
| 中文关键词: 自制取栓导管 肠系膜上动脉栓塞 腔内治疗 |
| 英文关键词: self-made catheter for thrombectomy acute superior mesenteric artery embolus mesenteric artery embolis ntracavitary therapy |
| 基金项目:江西省科技厅科技支撑计划项目（20151BBG70215） |
| 作者 | 单位 | | 王冬芽 | 井冈山大学附属医院, 江西, 吉安 343000 | | 黄亮辉 | 南昌大学第一附属医院, 江西, 南昌 330006 | | 万晓斌 | 南昌大学第一附属医院, 江西, 南昌 330006 | | 杨兴龙 | 南昌大学第一附属医院, 江西, 南昌 330006 | | 何崇武 | 南昌大学第一附属医院, 江西, 南昌 330006 | | 刘强 | 南昌大学第一附属医院, 江西, 南昌 330006 |
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| 中文摘要: |
| 目的 探讨和分析自制取栓导管在急性肠系膜上动脉栓塞腔内治疗中的应用价值。方法 收集我院2015年1月至2017年12月收治的19例肠系膜上动脉栓塞患者作为研究对象。所有患者均在入院前行腹部增强CT明确诊断，入院后征得患者及家属同意后急诊使用自制取栓导管腔内取栓治疗，术后通过随访评估手术效果。结果 17例（89.5%）患者腹痛得到不同程度的缓解，其中13例（68.4%）治愈，4例（21.1%）有效，2例患者因治疗后症状无缓解自动出院、随访1周内死亡。结论 自制取栓导管取栓技术在急性肠系膜上动脉栓塞治疗中有一定的优势，但具体的治疗效果与患者的病程、栓塞部位、基础疾病等有关，早期诊断和合理治疗对疾病的转归及预后起着至关重要的作用。 |
| 英文摘要: |
| Objective:To explore and analyze the application value of self-made thrombectomy catheter in the treatment of acute superior mesenteric artery embolization. Methods:19 patients with superior mesenteric artery embolism admitted to our hospital from January 2015 to December 2017 were collected as study subjects. All the patients were diagnosed with abdominal enhanced CT before admission. After obtaining the consent of the patients and their families, the emergency treatments of endovascular thrombectomy with self-made thrombectomy were applied. Results:The abdominal pain of 17 cases (89.5%) was relieved to various degrees. Among them, 13 cases (68.4%) were cured and 4 cases (21.1%) were effective, 2 cases of the patient were discharged automatically due to the absence of remission of symptoms after treatment and died within 1 week of follow-up. Conclusion:The technique of self-made thrombectomy catheter has certain advantages in the treatment of acute superior mesenteric artery embolization, but the specific therapeutic effect is related to the course of disease, embolic site, basic disease, etc., and early diagnosis and reasonable treatments play a crucial role in the outcome and prognosis of the disease. |
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