动脉切开取栓术治疗血栓闭塞性脉管炎的疗效观察.docVIP

动脉切开取栓术治疗血栓闭塞性脉管炎的疗效观察 桂纯 (华润武钢医院血管外科湖北武汉430080) 【摘要】目的：探讨动脉切开取栓术治疗血栓闭塞性脉管炎的临床疗效， 为临床提供新思路。方法：选取60例在我院治疗的血栓闭塞性脉管炎的患者的 临床资料进行回顾性分析，随机分为观察组和对照组，每组30例，分别采用动 脉切开取栓术和腰交感祌经切除术治疗，术后联合药物治疗，比较其临床疗效, 复发率和不良反应发生情况。结果：观察组总有效率明显高于对照组，其差异有 统计学意义(Plt;0.05); —年内观察组无复发，对照组4例复发，其差异有统计 学意义。结论:动脉切开取栓术治疗血栓闭塞性脉管炎临床效果较好，复发率低， 不良反应低，值得临床推广。 【关键词】血栓闭塞性脉管炎；动脉切开取栓术；疗效 【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752 (2015) 30-0010-02 Observation of the efficacy of arterial incision and thrombus removal in the treatment of patients with thrombotic occlusive vasculitis Gui Chun, Vascular surgery, WISCO General Hospital, Hubei Province, WuHan 430080,China 【Abstract】 Objective To explore the clinical effect of the treatment of the treatment of the patients with the clinical effect of the treatment of the clinical effect of the treatment of the patients with thrombosis and the clinical effect. Methods A total of 60 patients in our hospital treatment of thrombus occlusive vasculitis in patients with clinical data were retrospectively analyzed randomly divided into observation group and control group, 30 cases in each group were treated by arterial incision thrombectomy and lumbar sympathetic nerve resection in the treatment, surgery combined with drug therapy, the clinical curative effect, recurrence rate and adverse reactions occurrence. Results In the observation group, the total effective rate was significantly higher than that of the control group, the difference has statistical significance (P lt; 0.05); a year in observation group had no recurrence, the control group, 4 cases of recurrence, the differences have statistical significance. Conclusion Open artery embolectomy treat thrombosis vasculitis clinical effect is good, the recurrence rate low, low adverse reaction, is worth the clinical promotion. 【Key words】The thrombus occlusive vasculitis; Arterial dissection and thrombus removal; Curative effect -XX- - .1 a 刖目 血栓闭塞性脉管炎(thromboang iitisobliter—ANS/TAO)，又称 Burgerrsquo;s 病，主要是由于节段性，非动脉硬化的炎症导致动脉供血区域