下肢血栓闭塞性脉管炎个体化治疗的临床分析

The individualized treatment experiences on thromboangiitis obliterans of lower extremities: a clinical analysis

目的探讨个体化治疗下肢血栓闭塞性脉管炎(TAO)的疗效。方法对本院近7年来采用不同方法治疗下肢TAO12例患者的临床资料进行回顾性分析。结果 12例患者平均住院时间10.5d,药物治疗9例(其中5例为外院治疗后复发),手术治疗3例(其中大隐静脉倒置转流术2例,复合手术血管重建1例),治疗后短期内下肢缺血症状均明显改善,远期疗效有待进一步随访。结论根据患者具体病情,制定个体化治疗方案,能明显改善下肢缺血症状,提高TAO短期治愈率。

Objective To investigate the efficacy of the individualized treatment on thromboangiitis obliterans of lower extremities. Methods The clinical data of 12 patients with thromboangiitis obliterans of lower extremities treated by different methods in the past 7 years were retrospectively analyzed. Results Among 12 patients, the average hospitalization time was 10.5 days; medication in 9 cases（including 5 recurrence cases after treatment in other hospitals）, surgical treatment in 3 cases（including inverted saphenous vein bypass graft in 2 cases, hybrid revascularization in 1 case）, after treatment ischemic symptoms were significantly improved in the short-term, long-term effect needs to further follow-up. Conclusions According to the patient’s specific condition, the plan of individual treatment can improve the symptoms of lower limb ischemia and the short-term cure rate of TAO obviously.