腔内手术联合温阳化瘀法治疗主髂动脉硬化闭塞症疗效观察  

Observation of the therapeutic effect of endovascular technique combined with the method of warming yang and removing blood stasis on aorta-iliac arteriosclerosis obliterans

作　　者：代雪娜[1] 周涛[1] 

机构地区：[1]河南中医药大学第一附属医院周围血管科

出　　处：《北京中医药》2016年第10期915-918,共4页Beijing Journal of Traditional Chinese Medicine

摘　　要：目的探讨腔内手术联合中医温阳化瘀法治疗主髂动脉硬化闭塞症的疗效。方法回顾性分析采用腔内手术联合温阳化瘀法治疗的64例主髂动脉硬化闭塞症患者的临床疗效以及术后6、12个月随访的血管通畅率。结果所有患者全部穿刺成功,无穿刺并发症发生,下肢缺血症状缓解,伤面全部愈合,无截肢发生,术后疼痛症状、步行距离、ABI指数同术前相比差异有统计学意义(P<0.01)。术后6、12个月随访,一期通畅率分别为96.5%、90.2%。结论腔内手术联合温阳化瘀法能有效改善主髂动脉硬化闭塞症患者发凉、疼痛症状,促进溃疡愈合,降低致残率,提高患者生活质量。Objective To discuss the therapeutic effect of endovascular technique combined with the method of warming yang and removing blood stasis on aorta-iliac arteriosclerosis obliterans. Methods A retrospective analysis were given to the clinical studies on sixty-four patients with aorta-iliac arteriosclerosis obliterans who were applied the endovascular techniques combined with the method of warming yang and removing blood stasis as well as the patency rate with follow-up after 6,12 months of operation. Results All patients had successful puncture without the occurrence of complications of puncture. The ischemia of lower limbs was significantly relieved and the would surface healed completely without amputation occurred. Pain symptoms,walking distance,ABI index after the operation had statistical significance（ P〈0. 01） compared with those before the operation. The primary patency rate was 96. 5% and 90. 2%respectively in follow-up after 6,12 months of operation. Conclusion Endovascular technique combined with the method of warming yang and removing blood stasis can effectively improve the symptoms of coldness and pain of patients with aorta-iliac arteriosclerosis obliterans and promote ulcer healing,reduce the rate of disability,and improve the life quality of them.

关 键 词：主髂动脉硬化闭塞症 腔内手术 温阳化瘀法 

分 类 号：R543.1[医药卫生—心血管疾病]