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|本期目录/Table of Contents|

动脉切开取栓术治疗血栓闭塞性脉管炎(PDF)

《中国普外基础与临床杂志》[ISSN:1007-9424/CN:51-1505/R]

期数:
2010年07期
页码:
672-675
栏目:
专题
出版日期:
2010-07-22

文章信息/Info

Title:
Treatment of Thromboangitis Obliterans by Embolectomy
稿件编号:
201007009
作者:
戈小虎; 赛力木; 李雪松; 任昊; 慈红波; 方青波
新疆维吾尔自治区人民医院血管外科 (乌鲁木齐 830001)
Author(s):
 GE Xiao-hu;  SAI Li-mu;  LI Xue-song;  REN Hao;  CI Hong-bo;  FANG Qing-bo.
 Department of Vascular Surgery, People’s Hospital of Xinjiang Urgur Autonomous Region, Urumchi 830001, China
关键词:
血栓闭塞性脉管炎;  治疗;  外科;  动脉;  取栓术
Keywords:
 ; Thromboangitis obliterans;  Therapy;  Surgery;  Artery;  Embolectomy
分类号:
R654.4
DOI:
-
文献标识码:
A
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。
Abstract:
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.

参考文献/References

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备注/Memo

备注/Memo:
 【通讯作者】戈小虎，E-mail: gexiaohuxj@sohu.com
【作者简介】戈小虎(1962年-)，男，河北省武清县人，本科，主任医师，教授，硕士生导师，主要从事血管外科疾病临床治疗与基础研究。
更新日期/Last Update: 2010-07-27