摘要
目的探讨慢性肢体缺血的外科治疗方法及效果。方法回顾性分析6年间收治的慢性肢体缺血经外科治疗的75例（78条肢体）的临床资料，其中上肢7条，下肢71条。手术方式包括传统外科手术65例、介入手术4例及干细胞移植术6例。结果术后63例（66条肢体）获随访2～56个月，1年内8例患者9条下肢（13．6％）截肢；55条肢体（83．3％）临床症状减轻或消失；肢体溃疡愈合或截肢平面降低2条（3．0％），总有效率86．3％。结论根据病情选用适当的手术方式治疗慢性肢体缺血，可取得较满意的效果。
Objective To explore the methods and the effect of the surgical treatment of patients with chronic ischemia of extremities. Methods In recent 6 years, the clinical data of 75 patients, including 7 upper extremities and 71 lower extremities with chronic ischemia, treated surgically were reviewed retrospectively, The surgical treatment included： traditional operation in 65 cases, interventional surgery in 4 cases and stem cell transplantation in 6 cases. Results Sixty-three patients （66 extremities ） were followed up from 2 to 56 months after the surgical treatment, and the result showed that 9 extremities of 8 patients were amputated within 1 year （13, 6% ）, In the other cases （83. 3% ）, the ischemic symptoms were relieved or disappeared, the ulcer healed or the amputating level had lowered （ 3.0 % ） , The effective rate of the surgical treatment was 86.3 % , Conclusions The appropriate surgical treatment of chronic iscbemia limbs should be choiced based on the ischemic state of the limb, and a satisfactory result can be obtained in most patients.
出处
《中国普通外科杂志》
CAS
CSCD
2006年第12期932-934,共3页
China Journal of General Surgery
