中国实用外科杂志2016，Vol.36Issue(12)：1298-1301,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.12.12
血栓闭塞性脉管炎外科与腔内治疗疗效研究
Surgical and endovascular treatment of thromboangiitisobliterans
刘冰 1黄任平1
作者信息
- 1. 哈尔滨医科大学附属第一医院血管外科，黑龙江哈尔滨150001
- 折叠
摘要
Abstract
Objective To investigate the outcomes of surgical and endovascular treatment for thromboangiitisobliterans. Methods The clinical data of 202 patients with thromboangiitisobliterans underwent surgical and endovascular treatment in the First Affiliated Hospital of Harbin Medical University from April 2006 to April 2015 were analyzed retrospectively. According to the outcomes of ankle brachial index (ABI) and the Rutherford classification value (R-value), the effectiveness of different operation methods were evaluated. Results The Rutherford classification value evaluation:One month after operation, R-value decreasedin all 4 groups(P<0.05). Six months after operation, R-value decreased in lumbar sympathectomy group, sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Twelve months after operation, R-value decreased in sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05).ABI evaluation:One week after operation,ABI increased in all 4 groups (P<0.05). Six months after operation, ABI increased in sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Twelve months after operation, ABI increased in sequential endarterectomy group and sequential endarterectomy combined with lumbar sympathectomy group(P<0.05). Conclusion Percutaneous transluminal angioplasty (PTA) and lumbar sympathectomy can bring benefit to the patient with TAO in the short term. Sequential endarterectomy combined with or without lumbar sympathectomy are proved to be effective as a surgical method for TAO.关键词
血栓闭塞性脉管炎/经皮腔内血管成型术/内膜剥脱/交感神经节切除Key words
thromboangiitisobliterans/percutaneous transluminal angioplasty/endarterectomy/sympathectomy引用本文复制引用
刘冰,黄任平..血栓闭塞性脉管炎外科与腔内治疗疗效研究[J].中国实用外科杂志,2016,36(12):1298-1301,4.
