Surgical treatment of chronic ischemia of extremities:a report of 75 cases
- VernacularTitle:慢性肢体缺血的外科治疗:附75例报告
- Author:
Chunshui HE
;
Yanzheng HE
;
Yong LIU
;
Hong ZENG
;
Wu ZHONG
;
Hui YANG
- Publication Type:Journal Article
- Keywords:
Arterial Occlusive Diseases/surg;
Thrombectomy/methods;
Blood Vessel Prosthesis;
Stents
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the methods and the effect of the surgical treatment of patients with chronic ischemia of extremities.Methods In recent 6 years,the clinical data of 75 patients,including 7 upper(extremities) and 71 lower extremities with chronic ischemia,treated surgically were reviewed retrospectively.The surgical treatment included: traditional operation in 65 cases,interventional surgery in 4 cases and stem cell transplantation in 6 cases.Results Sixty-three patients(66 extremities) were followed up from 2 to 56 months after the surgical treatment,and the result showed that 9 extremities of 8 patients were amputated(within) 1 year(13.6%).In the other cases(83.3%),the ischemic symptoms were relieved or(disappeared),the ulcer healed or the amputating level had lowered(3.0%).The effective rate of the surgical treatment was 86.3%.Conclusions The appropriate surgical treatment of chronic ischemia limbs should be choiced based on the ischemic state of the limb,and a satisfactory result can be obtained in most patients.