混合型多发性大动脉炎的外科治疗
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胡国富E-mail:hurenfu@yahoo.com.cn

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Surgical treatment of type Ⅲ Takayasu′s arteritis
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    摘要:

    目的:探讨混合型多发性大动脉炎的外科治疗。
    方法:回顾性分析收治的12 例混合型多发性大动脉炎患者的临床资料。
    结果:行动脉旁路术5例,PTA+腔支架植入术3例,联合动脉旁路术及PTA+腔内支架植入术4例。随访3~60个月,10例有器官缺血或肾动脉高压的得到很好的控制,2例肾动脉再狭窄,其中1例死于脑血管意外。
    结论:综合运用动脉旁路术、经皮腔内血管成形术(PTA)及腔内支架植入术及可以很好的控制大动脉炎重要脏器的缺血症状和改善肾性高血压。

    Abstract:

    Objective:To investigate the method of surgical treatment of mixed type Takayasu′s arteritis(TA).
    Methods:Clinical data of 12 cases of TA were retrospectively analyzed.
    Results:All 12 patients were treated with operations, including arterial bypass with prosthesis-graft in 5 cases; percutaneous transluminal angioplasty (PTA) and intraluminal stent implantation in 3 cases; combination of the two methods in 4 cases. All patients were followed up for 3 to 60 months. 10 cases of organ ischemia or renal hypertension were very well controlled, 2 cases showed restenosis of renal artery and one of them died from cerebrovascular accident.
    Conclusions:Combination of arterial bypass, PTA and intraluminal stent impantation can control the ischemia of the vital organs and reduce the blood pressure of renal hypertension in patients with TA.

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熊一频| 胡国富.混合型多发性大动脉炎的外科治疗[J].中国普通外科杂志,2010,19(6):634-637.
DOI:10.7659/j. issn.1005-6947.2010.06.010

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  • 收稿日期:2010-03-08
  • 最后修改日期:2010-05-08
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  • 在线发布日期: 2010-06-15