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目的探讨腔内手术联合中医温阳化瘀法治疗主髂动脉硬化闭塞症的疗效。方法回顾性分析采用腔内手术联合温阳化瘀法治疗的64例主髂动脉硬化闭塞症患者的临床疗效以及术后6、12个月随访的血管通畅率。结果所有患者全部穿刺成功,无穿刺并发症发生,下肢缺血症状缓解,伤面全部愈合,无截肢发生,术后疼痛症状、步行距离、ABI指数同术前相比差异有统计学意义(P<0.01)。术后6、12个月随访,一期通畅率分别为96.5%、90.2%。结论腔内手术联合温阳化瘀法能有效改善主髂动脉硬化闭塞症患者发凉、疼痛症状,促进溃疡愈合,降低致残率,提高患者生活质量。
Objective To investigate the curative effect of endovascular surgery combined with TCM treatment of warming yang and removing blood stasis to treat primary iliac arteriosclerosis obliterans. Methods The clinical efficacy of 64 patients with primary iliac arteriosclerosis obliterans treated by endovascular surgery combined with warming yang and removing blood stasis method was retrospectively analyzed. The vascular patency rate at 6 and 12 months after operation was retrospectively analyzed. Results All the patients had successful puncture, no puncture complication, the relief of lower extremity ischemia, all wound healing, no amputation, postoperative pain symptom, walking distance and ABI index compared with preoperative (P <0.01). After 6 and 12 months of follow-up, the primary patency rate was 96.5% and 90.2% respectively. Conclusions Endovascular surgery combined with warming Yang and removing blood stasis method can effectively improve the symptoms of cold and pain in patients with primary iliac arteriosclerosis obliterans, promote the healing of ulcer, reduce the morbidity and improve the quality of life of patients.