摘要
目的 利用胫骨横向搬移再生血管技术 ,治疗血栓闭塞性脉管炎。方法 对 1例患血栓闭塞性脉管炎 7年的男性 5 6岁患者 ,在胫骨内前方中段做一个纵长方形截骨 (长 12 0mm、宽 2 0mm) ,然后安装可搬移骨块的装置。术后第 5天开始以每天 1mm的速度横向搬移骨块 ,移动距离 2 2mm为止 ,术后 2个月拆掉搬移装置。结果 从术后 1周骨搬移开始 ,病人小腿冰冷感、足末端麻木、间歇跛行等症状逐渐好转、消失。术后 2 5d血管造影证实 ,被搬移骨的周围 (下肢末端 )形成了丰富的血管网络 (术前动脉以下中、小动脉中断 )。结论 胫骨横向搬移再生血管 (网 )技术治疗周围动脉慢性闭塞性疾病效果良好。
Objective To treat thromboangiitis obliterans by the way of transverse tibial bone transport and vessel regeneration operation. Methods a longitudinal osteotomy in the middle tibial bone (120 mm long, 20 mm wide) was prepared and then a bone external fixator which was able to move bone block was fixed. 5 days after the operation, the bone block was moved 1 mm tranaversely each day until the bone block was moved to 22 mm. Two months after the operation, the bone external fixator was removed. Results From the begining of the bone transprort, the symptoms of cool sensation of leg, the tingling of foot, and the intermitlent claudication became better and disappeared gradualy. 25 days after the operation, it was proved that the rich vessels surromiding the bone block which was moved had been formed by the angigraphy. Before the operation the middle and the small vessels benieth the arteriae poplitea disappeared. Conclusion the result aquired from the animal experiment was as same as the result aquired from the clinica practice. Today, this method is the most effective one to treat the peripheral chronic atery obliterations.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2001年第10期622-624,共3页
National Medical Journal of China
