The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction

摘要

[Objective] Explore the effectiveness and pracaticability of the lateral tibia bone transport technology for the treatment of thromboangiitis obliterans of lower limbs [Methods] 52 patients with thromboangiitis obliterans by lateral tibia bone transport operation. On the fifth day after the surgery, the tibial bone mass was transversely transported under the action of external stent, after carry out for 21mm, hold for 3 days, carry back again, finish the bone transport in 50 days after surgery, then the external stents were removed, and then evaluate the effectiveness by angiography, limbs survived and follow-up [Results] 45 of 52 cases obtained satisfactory curative effect, limb ischemia necrosis were completely improved. through 2 ～ 3 years follow-up time. There are still severe lower limb ischemia necrosis cases, 7 cases of postoperative lower limb amputation. The total effective rate was 87%. [Conclusion] Lateral tibia bone handling technology can be effective treatment of thromboangiitis obliterans of lower limbs, the surgical operation is simple, safe and effective, the method is worthy of clinical promotion.