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CT引导下穿刺化学去交感神经术在治疗肢体慢性动脉供血不足中的应用

[Application of puncture chemical desympathization under the CT control in the treatment of chronic arterial insufficiency of extremities].

作者信息

Nesterenko V L

出版信息

Klin Khir. 2001 Apr(4):13-6.

Abstract

For elimination of sympathetic influence on the extremities vessels in obliterating disease of their arteries in 126 patients the desympathization was done, including 66 causes of punctural paravertebral introduction of sympathicoleasing substances under the computer tomography (CT) control and in 60--using sympathectomy according to Leriche or Texatsu. The lower traumaticity and efficiency of the chemical desympathization method under the CT control permits to recommend it as alternative to reconstructive intervention or surgical the sympathectomy, in patients with significant of current diseases in particular. Application of method had permitted to reduced the duration of stationary treatment of patients to 1.5 days.

摘要

为消除交感神经对126例四肢动脉闭塞性疾病患者肢体血管的影响,进行了去交感神经手术,其中66例在计算机断层扫描(CT)控制下经皮椎旁注射交感神经阻滞物质,60例采用勒里什或特克萨特交感神经切除术。CT控制下化学去交感神经方法的创伤性较小且效果良好,尤其对于患有严重基础疾病的患者,可推荐其作为重建干预或手术交感神经切除术的替代方法。该方法的应用使患者住院治疗时间缩短至1.5天。

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