Shen W L, Yang Z M, Jin L R, Wei J J, Luo Y G, Peng Y B
Department of Surgery, First Hospital, West China University of Medical Sciences, Chengdu.
Chin Med J (Engl). 1990 Mar;103(3):248-50.
From 1981 to 1985, omental autotransplantation was performed for 28 patients with thromboangiitis obliterans on the left lower extremities in 16 patients, the right ones 11, and the right upper limb 1. The early results in all patients were satisfactory. In 19 patients followed up from 1 to 4 years, the results were encouraging, with the improvement of symptoms after operation. In 18 patients, digital ulcers healed within 2-4 weeks. Doppler and electrical impedance plethysmography examinations showed the blood circulation of affected extremities was markedly improved in the 18 patients except one who had the recurrence of digital ulcer 2 years later. In one of the 19 patients the disease recurred one month after the operation, and a lumbar sympathectomy was performed. The indications, the operative technique, and the mechanism of this operation are discussed.
1981年至1985年期间，对28例血栓闭塞性脉管炎患者进行了大网膜自体移植术，其中左下肢16例，右下肢11例，右上肢1例。所有患者的早期结果均令人满意。对19例随访1至4年的患者而言，结果令人鼓舞，术后症状有所改善。18例患者的指端溃疡在2至4周内愈合。除1例患者2年后指端溃疡复发外，其余18例患者经多普勒和电阻抗体积描记法检查显示患肢血液循环明显改善。19例患者中有1例术后1个月疾病复发，遂行腰交感神经切除术。本文讨论了该手术的适应证、手术技术及手术机制。
