ePTFE血管移植修复创伤性四肢干动脉缺损的临床研究  

Clinical Application and Observation of ePTFE Blood Vessel Graft for Repairing Traumatic Peripheral Arterial Defect

作　　者：卢吉平[1] 曾凯生[1] 李介秋[1] 宾捷[1] 

机构地区：[1]解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2006年第7期1090-1093,共4页Journal of Clinical Research

摘　　要：【目的】总结应用膨胀泡沫聚四氟乙烯(ePTFE)血管移植修复创伤性四肢干动脉缺损的方法和疗效,探讨血管吻合口感染的预防途径。【方法】采用Life Green公司的ePTFE血管移植通过肌瓣包裹、转位覆盖及旁路迂回等方式修复四肢干动脉缺损40例。【结果】血管移植术后全部通畅,无吻合口感染。随访6个月、1年、2年,血管通畅率分别为100%、96.9%、89.3%。无截肢病例。【结论】ePTFE血管移植修复创伤性四肢主干动脉缺损是一种简便可行的手术方式.既能解决自体血管来源困难有限、口径小等难题,又能达到自体静脉移植同样的疗效。[Objective]To summarize the method and clinical result of repairing traumatic peripheral arterial defect by Polytetrafluoroethylene （ePTFE） blood vessel graft, discuss the way of preventing the infection of vessel anastomosis. [Methods]Forty cases with traumatic peripheral arterial defect were repaired with ePTFE blood vessel grafting or bypass reconstruction. [Results]The results of the blood flow in grafted vessel was satisfactory and blood circulation at distal part of the extremities was good. The follow-up ranged from 6 months to 2 years,the primary patency rates of 100% .96.9% .89.3%. were observed in 6 months.] year.2 years respectively. No case was amputated. [Conclusion]Repairing the traumatic peripheral arterial defect with ePTFE blood vessel graft is a safe and convenient technique in clinical practice. It can be an alternative method to solve the difficult source and limited diameter of autovessels in the body.

关 键 词：创伤和损伤/外科学 动脉/损伤 血管/移植 四肢/血液供给 聚四氟乙烯 

分 类 号：R654.4[医药卫生—外科学]