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微创腰交感神经切除术在下肢血管闭塞性疾病患者治疗中的应用

[Application of minimally invasive lumbar sympathectomy in the treatment of patients with obliterating diseases of the lower extremity vessels].

作者信息

Arbuzov I V, Zemliankin A A, Spirin Iu S, Bolianovskiĭ I I, Selishchev V V, Arbuzov V I, Sviridov V A, D'iachenko A Iu

出版信息

Klin Khir. 2006 Jan(1):44-6.

Abstract

The method of performance and immediate results of miniinvasive lumbar sympathectomy using retroperitoneal miniaccess were adduced in the work. In 2005 yr on the base of division of vascular surgery were operated 19 patients. Application of endoscopic instruments and optic system of illumination gave the possibility to remove lumbar sympathetic nodes in conditions of narrow (3-5 cm) surgical access and operative field. Introduction of miniinvasive method have promoted to reduce essentially the postoperative complications rate, the pain syndrome intensity, the reduction of duration of the patients postoperative rehabilitation, the cosmetic effect raising.

摘要

该研究介绍了经腹膜后小切口行微创腰交感神经切除术的操作方法及近期疗效。2005年,在血管外科的基础上,对19例患者进行了手术。应用内镜器械和光学照明系统,使得在狭窄(3 - 5厘米)的手术入路和手术视野条件下能够切除腰交感神经节。微创方法的应用显著降低了术后并发症发生率、疼痛综合征强度,缩短了患者术后康复时间,提高了美容效果。

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