多发性大动脉炎的手术时机及对策

目的: 总结多发性大动脉炎的外科治疗经验和体会,进一步探讨该病外科治疗的手术时机和有效的处理方法。方法: 12例中的11例进行外科手术治疗,其中8例采用动脉搭桥术,3例采用血管介入术,均针对患者的颅脑缺血、顽固性高血压等严重症状,手术时机恰当。结果: 手术死亡2例,均死于术后严重的脑水肿,其余手术患者均取得满意的疗效,术后随访6个月~3年,术前症状缓解,无复发,总有效率为63.6%。结论: 适时有效的外科手术治疗多发性大动脉炎可以取得理想的疗效,但头臂型大动脉炎的治疗须重视脑保护,血管介入治疗仍需要不断探索、提高。

Operational timing and countermeasure for Takayasu arteritis

Objective:To summarize the experience of surgical therapy on Takayasu arteritis(TA),and investigate the timing of the surgical therapy and effective therapy methods on this disease.Methods:Eleven patients underwent surgical therapy,and 8 artery bypass operation,and 3 cases intervention therapy.The aim of therapy was to alleviate the severe symptoms of brain ischemia and refractory hypertension.The time of operation was appropriate.Results:Two patients died of brain oedema.The good curative effect was achieved in other patients.Follow-up in all the patients ranged from 6 months to 3 years.The symptoms were alleviated in all patients,and no recrudescence were found.The efficience was 63.6.Conclusions:On the condition that tackling operational time and adopting effective countermeasure,the good curative effect could be achieved in TA patients by surgical therapy.And safeguard of brain must be recognised in TA of Shimizi-sano.Intervention therapy still need incessant exploration and enhancement.