中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2012年
3期
230-233
,共4页
沈晨阳%何长顺%潘浩%张小明
瀋晨暘%何長順%潘浩%張小明
침신양%하장순%반호%장소명
贝赫切特综合征%动脉闭塞性疾病%动脉瘤%静脉炎%血管假体植入
貝赫切特綜閤徵%動脈閉塞性疾病%動脈瘤%靜脈炎%血管假體植入
패혁절특종합정%동맥폐새성질병%동맥류%정맥염%혈관가체식입
Beh(c)et syndrome%Arterial occlusive disease%Aneurysm%Phlebitis%Blood vessel prosthesis implantation
目的 分析血管贝赫切特综合征(BS)的诊断和外科治疗方法及其疗效.方法 回顾性分析2003年1月至2011年4月收治的26例血管BS患者的术前诊断、治疗方法和远期疗效.男性23例,女性3例,年龄20～76岁,平均(37±6)岁.病变仅涉及动脉系统12例,表现为动脉狭窄、闭塞4例,动脉瘤8例；病变仅涉及静脉系统13例,表现为静脉炎或静脉血栓形成；同时涉及动静脉系统1例.全组共有11例患者接受了22例次的外科治疗,包括介入治疗8例次,手术治疗13例次,介入与手术杂交治疗1例次.结果 随访率84.6％(22/26),随访时间3～ 96个月,平均随访时间39.3个月.随访期间病死率23.1％(6/26).接受外科治疗的患者围手术期病死率为1/11.介入治疗患者治愈率7/8,复发率5/8；传统手术患者治愈率8/13,复发率7/8.结论 临床诊断为BS同时合并有各种血管病变的患者,应警惕血管BS,根据病情和病变时机选择恰当的外科治疗方法,是治疗成功的保障.
目的 分析血管貝赫切特綜閤徵(BS)的診斷和外科治療方法及其療效.方法 迴顧性分析2003年1月至2011年4月收治的26例血管BS患者的術前診斷、治療方法和遠期療效.男性23例,女性3例,年齡20～76歲,平均(37±6)歲.病變僅涉及動脈繫統12例,錶現為動脈狹窄、閉塞4例,動脈瘤8例；病變僅涉及靜脈繫統13例,錶現為靜脈炎或靜脈血栓形成；同時涉及動靜脈繫統1例.全組共有11例患者接受瞭22例次的外科治療,包括介入治療8例次,手術治療13例次,介入與手術雜交治療1例次.結果 隨訪率84.6％(22/26),隨訪時間3～ 96箇月,平均隨訪時間39.3箇月.隨訪期間病死率23.1％(6/26).接受外科治療的患者圍手術期病死率為1/11.介入治療患者治愈率7/8,複髮率5/8；傳統手術患者治愈率8/13,複髮率7/8.結論 臨床診斷為BS同時閤併有各種血管病變的患者,應警惕血管BS,根據病情和病變時機選擇恰噹的外科治療方法,是治療成功的保障.
목적 분석혈관패혁절특종합정(BS)적진단화외과치료방법급기료효.방법 회고성분석2003년1월지2011년4월수치적26례혈관BS환자적술전진단、치료방법화원기료효.남성23례,녀성3례,년령20～76세,평균(37±6)세.병변부섭급동맥계통12례,표현위동맥협착、폐새4례,동맥류8례；병변부섭급정맥계통13례,표현위정맥염혹정맥혈전형성；동시섭급동정맥계통1례.전조공유11례환자접수료22례차적외과치료,포괄개입치료8례차,수술치료13례차,개입여수술잡교치료1례차.결과 수방솔84.6％(22/26),수방시간3～ 96개월,평균수방시간39.3개월.수방기간병사솔23.1％(6/26).접수외과치료적환자위수술기병사솔위1/11.개입치료환자치유솔7/8,복발솔5/8；전통수술환자치유솔8/13,복발솔7/8.결론 림상진단위BS동시합병유각충혈관병변적환자,응경척혈관BS,근거병정화병변시궤선택흡당적외과치료방법,시치료성공적보장.
Objective To analyze the diagnosis and surgical treatment results of angio-Beh(c)et syndrome. Methods The clinical data of pre-operation diagnosis, surgical treatment methods and prospective efficacy of 26 patients who were diagnosed as Beh(c)et syndrome between January 2003 and April 2011 was analyzed retrospectively.There were 23 male and 3 female patients,aging from 20 to 76 years with a mean of ( 37 ± 6) years. Among them,3 patients showed the clinical symptoms as arterial stenosis or occlusion,9 patients had aneurysm,13 patients had phlebitis or phlebothrombosis.One patient had both aneurysm and venous thrombosis.Totally 11 patients had experienced 22 cases surgical treatment including interventional therapy for 8 cases,open operation for 13 cases and hybrid operation for 1 case. Results Twenty-two patients ( 84.6％ ) were followed up from 3 months to 96 months after various surgical treatment methods.The average follow-up periond was 39.3 months.Totally,perioperative mortality was 1/11 after surgical treatment.Healing rates were 7/8 and 8/13,recurrence rates were 5/8 and 7/8 in patients with interventional therapy compared with that of experiencing open surgery respectively. Conclusions Beh(c)et syndrome patients combined with various vascular lesions should be thought of angio-Beh(c)et syndrome.Choosing correct surgical treatment according to patient's condition and timing of pathological changes are the keys of gaining satisfactory results.
