摘要
目的探讨动脉切开取栓术治疗血栓闭塞性脉管炎(TAO)的临床经验。方法对我院2000年3月至2010年3月期间121例TAO患者中的14例(14条肢体:上肢2例和下肢12例)行动脉切开取栓术,其中8例肢体行单纯动脉切开取栓术,6例行同期动脉切开取栓联合骨髓或外周血干细胞移植术。结果 14例肢体中,11例肢体取栓成功,3例取栓不满意。取栓成功患肢术后疼痛症状消失。成功取栓患者中7例获得随访,随访5个月至8.5年(平均4年),其中4例间歇性跛行及静息痛症状消失,2例未戒烟患者病情加重(1例行膝下截肢),1例已戒烟患者仍有间歇性跛行。3例远端取栓不成功的患者,1例失访,1例术后未戒烟,症状加重行膝下截肢术,另1例已戒烟并随访3年,间歇性跛行等症状明显改善。结论动脉切开取栓术是治疗TAO安全、有效的方法 。
Objective To explore the clinical experience on treatment of thromboangitis obliterans （TAO） by embolectomy.Methods Fourteen of 121 patients with TAO treated in our hospital from March 2000 to March 2010 were included in this study.Total 14 limbs consisted of 2 upper extremities and 12 lower extremities.Among these cases,8 cases underwent embolectomy and 6 cases received embolectomy combined the stem cell transplantation.Results Of 14 cases of TAO patients,11 cases were successfully treated by surgery and 3 cases failed.After successful operation,patient’s pain disappeared and ankle-brachial index improved obviously.Seven patients treated successfully by surgery were followed up from 5 months to 8.5 years （mean 4 years）,in whom the intermittent claudication and rest pain disappeared in 4 cases,and disease deteriorated in 2 cases who always smoked,and one case had intermittent claudication who stopped smoking.For 3 cases patients failed to operation,one lost follow-up,one had to receive a below knee amputation due to keep smoking after operation,and one case who stopped smoking underwent alleviative symptoms for 3 years.Conclusion Embolectomy is a safe and effective technique for treating TAO.
出处
《中国普外基础与临床杂志》
CAS
2010年第7期672-675,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
血栓闭塞性脉管炎
治疗
外科
动脉
取栓术
Thromboangitis obliterans
Therapy
Surgery
Artery
Embolectomy
