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近年来,以静脉动脉化治疗中、晚期血栓闭塞性脉管炎已有多种手术方式,均取得了较好的近期疗效。我院采用原位大隐静脉动脉化加同侧腰交感神经节切除治疗Ⅱ、Ⅲ期血栓闭塞性脉管炎各1例,随访3年疗效满意,报告如下。 例1 男,30岁。左下肢间歇性跛行2年半,夜间静息痛半年,于1989年9月13日入院。检查:左足背动脉搏动消失,跛行时间5分钟。数字减影血管造影(DSA):左侧股动脉于起始部完全闭塞,仅留残段0.5cm。诊断:血栓闭塞性脉管炎。
In recent years, the treatment of venous arterial venous thrombosis in advanced vascular occlusive vasculitis have a variety of surgical methods, have achieved good near-term efficacy. In our hospital, in situ saphenous vein arterialization plus ipsilateral lumbar sympathectomy for the treatment of stage Ⅱ, Ⅲ thromboangiitis obliterans in 1 case, 3 years follow-up with satisfactory results, the report is as follows. Example 1 male, 30 years old. The left lower limb intermittent claudication for two and a half years, night rest pain for six months, on September 13, 1989 admission. Check: left foot dorsal artery pulse disappeared, limp time of 5 minutes. Digital subtraction angiography (DSA): The left femoral artery is completely occluded at the beginning, leaving only 0.5 cm of the stump. Diagnosis: Thromboangiitis obliterans.