经电视腹腔镜腰交感神经节切除术联合静脉动脉化治疗血栓闭塞性脉管炎12例  

Video-assisted laparoscopic lumbar sympathectomy combined with in situ aterialization of the great saphenous vein for the treatment of thromboangiitis obliterans,a report of 12 cases

作　　者：鉴涛[1] 代远斌[1] 

机构地区：[1]重庆医科大学附属第一医院血管外科,重庆400016

出　　处：《重庆医科大学学报》2008年第9期1143-1144,1147,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨经电视腹腔镜腰交感神经节切除术(Video-assisted laparoscopic lumbar sympathectomy,VALLS)联合原位大隐静脉动脉化治疗血栓闭塞性脉管炎的临床疗效。方法:选择本院普外科2005年1月至2006年12月采用VALLS联合原位大隐静脉动脉化治疗血栓闭塞性脉管炎12例。结果:12例患者均获随访,随访时间6～24月,平均12月,患者间歇性跛行时间延长,静息痛显著缓解或消失。结论:本术式切口小,创伤小,疗效满意,有临床推广价值。Objective：To review the effects of video-assisted laparoscopic lumbar sympathectomy combined with in situ aterializa tion of the great saphenous vein for the treatment of thromboangiitis obliterans. Methods：From January 2005 to December 2006,12 patients with thromboangiitis obliterans were treated in our hospital with laparoscopic lumbar sympathectomy combined with in situ aterialization of the great saphenous vein. Results：Twelve limbs were followed-up from 6 months to 2 years. The intermittent claudication was delayed,and night pain was relieved or disappeared in all cases. Conlusion：Because of its small incision,little wound,and satisfactory efficacy,the present operation is applicable in clinic.

关 键 词：腹腔镜 腰交感神经节切除术 静脉动脉化 血栓闭塞性脉管炎 

分 类 号：R654.4[医药卫生—外科学]