外科治疗血栓闭塞性脉管炎溃疡22例分析  

Analysis on 22 cases of thromboangiitis obliterans ulceration in surgical treatment

作　　者：杨燕菲[1] 马连芹 孙大庆[1] 

机构地区：[1]山东大学第二医院周围血管科,山东济南250033 [2]山东省淄博市第一医院外科,山东淄博255200

出　　处：《中国医药科学》2012年第23期191-192,共2页China Medicine And Pharmacy

基　　金：山东省科技发展计划项目(2012G0021828)

摘　　要：目的探讨血栓闭塞性脉管炎的外科治疗方法。方法回顾性分析笔者所在医院2010年以来收治的22例血栓闭塞性脉管炎住院患者的临床资料,全部病例均有肢体的缺血性疼痛及下肢溃疡。结果 10例行手术清创治疗,21例行截趾/肢术。其中16例行截趾术,3例行半足截除术,2例行小腿截肢术,刀口愈合21例,死亡1例。结论血栓闭塞性脉管炎患者经外科治疗后症状改善,提高了患者的生活质量。Objective To investigate the surgical treatment of Buerger＇s disease.Methods The clinical data of 22 cases of thromboangiitis obliterans received and treated since 2010 were collected and analyzed retrospectively.All patients had ischemic pain and ulcerations in lower extremities.Results 10 received debridement of ulcerations,21 received amputation of limbs or toes（among them,16 cases with toe amputations,3 with semi-foot amputations,2 with amputation of lower extremities）.There were 21 cases of incision healing and 1 postoperative death.Conclusion Surgical treatment can reduce the signs and symptoms of patients with thromboangiitis obliterans and improve their quality of life.

关 键 词：血栓闭塞性脉管炎 外科治疗 

分 类 号：R632.1[医药卫生—外科学]