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[采用勒布尔技术进行动脉内注射治疗动脉炎的长期结果]

[Long-term results of the treatment of arteritis with intra-arterial injections using Reboul's technique].

作者信息

Van der Molen H R, Toth L M, Collard J J, Balmus K J

出版信息

Phlebologie. 1979 Jan-Mar;32(1):57-65.

PMID:432291
Abstract

We have made a non-selective search for patients undergoing treatment for more than five years for an arterial deficiency of the lower limbs. Most of the patients studied suffered from intermittent claudications for which surgical treatment was impossible (distal lesions, diabetes, coronaritis) or had failed (sympathectomy, recurrences). Faced with the inefficiency of vasodilators, and in addition to strict medical treatment of the risks factors of arterio-sclerosis disease (tobacco, obesity, hypercholesterol, sedentary habits), we treated these patients using intra-arterial injections according to the method of Reboul. Our patients generally received one injection per week of xylocaine-priscol-pronestyl. Once an improvement appeared, these injections were spaced out so as to become semi-annual. We grouped 67 patients suffering from intermittent claudications and 5 patients suffering from arteritis ulcers. We studied the results obtained from this so-called palliative treatment (the claudication going from an average 201 meters to 3,395 meters after five years and cure of the ulcers).

摘要

我们对接受下肢动脉供血不足治疗超过五年的患者进行了非选择性搜索。大多数接受研究的患者患有间歇性跛行,对此进行手术治疗是不可能的(远端病变、糖尿病、冠状动脉炎)或已失败(交感神经切除术、复发)。面对血管扩张剂的无效性,除了对动脉硬化疾病的危险因素(烟草、肥胖、高胆固醇、久坐习惯)进行严格的药物治疗外,我们根据雷布尔的方法采用动脉内注射治疗这些患者。我们的患者通常每周接受一次利多卡因 - 普立斯可 - 普罗奈斯特的注射。一旦出现改善,这些注射的间隔时间就会延长,变为半年一次。我们将67例患有间歇性跛行的患者和5例患有动脉炎溃疡的患者归为一组。我们研究了这种所谓的姑息治疗所取得的结果(五年后间歇性跛行的平均行走距离从201米增加到3395米,溃疡得到治愈)。

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