Clinical treatment of the intermittent claudication caused by lumbar spine disease combined lower extremity arteriosclerosis obliterans
10.3760/cma.j.issn.1673-4904.2010.20.004
- VernacularTitle:腰椎疾病同时合并下肢动脉闭塞症所致间歇性跛行的临床诊治
- Author:
Dongkui NI
;
Yisheng WU
;
Xiaojian PANG
;
Lijun LI
- Publication Type:Journal Article
- Keywords:
Intermittent claudication;
Lumbar vertebrae;
Arterial occlusive disease;
Diagnosis
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(20):8-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the principle of diagnosis and treatment of intermittent claudication caused by lumbar spine disease combined with lower extremity arteriosclerosis obliterans. Method Eighteen cases of patients with intermittent claudication caused by lumbar spine disease combined with lower extremity arteriosclerosis obliterans, using MRI and MRA, to determine the main reason due to of disease, to take the treatment for the cause. Results The patients were followed up for 7 to 24 months, average (16.0 ± 4.7) months. Assessed according to the modified MacNab criteria of clinical efficacy, excellent in 7 cases, good in 8 cases, general in 3 cases,satisfactory rate was 83.3%(15/18). Intermittent claudication were improved with all patients, walking distance of more than 1000 meters, relief rate was 100%. Postoperative ankle brachial score(0.90±0.54 ) was obviously increased compared with preoperative average(0.58±0.36), there was significant statistical difference(P<0.01). All cases were not amputee due to circulation disturbance. Conclusion The diagnosis and treatment of intermittent claudication caused by lumbar spine disease combined lower extremity arteriosclerosis obliterans,it is necessary to collect a history of serious and careful investigation,combined with imaging, can accurately determine the responsibility of lesions, target to give the appropriate treatment, can get a good effect
