胫后静脉一期动脉化治疗周围动脉广泛性闭塞性疾病  

Treatment of Peripheral Arterial Extensive Occlusive Disease by One Stage Arterialization of Posterior Tibial Vein

作　　者：凌瑞[1] 易军[1] 宁莫凡[1] 王岭[1] 

机构地区：[1]第四军医大学西京医院血管外科,西安710032

出　　处：《中国普外基础与临床杂志》2007年第6期694-696,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨应用胫后静脉一期动脉化治疗周围动脉广泛性闭塞性疾病的疗效。方法应用胫后静脉一期动脉化治疗周围动脉广泛性闭塞性疾病46例(56条患肢)。结果术后患者疼痛症状消失、皮温升高。经3个月～7年的随访,除2条患肢行截肢、2条患肢再行带蒂网膜移植术外,其余肢体治疗效果良好,总有效率为92.9%(52/56)。结论胫后静脉一期动脉化具有手术一期完成、适应证广、对静脉回流影响小、缺血症状解除快等优点。Objective To investigate the effect of one stage arterialization of posterior tibial vein in treatment of peripheral arterial extensive occlusive disease. Methods Forty-six cases （56 limbs） of patients with peripheral arterial extensive occlusive disease were treated with one stage arterialization of posterior tibial vein. Results The symptom of pain disappeared right after one stage arterialization of posterior tibial vein in all patients . Skin temperature went up. The long-term results were satisfactory during the period of 3 months to 7 years follow-up, except two limbs were amputated and two limbs were reoperated with pedicle omental transplantation. Conclusion The technique of one stage arterialization of posterior tibial vein has advantages of one-stage procedure, various indications, little influence to venous return and rapid relief of ischemic symptoms.

关 键 词：动脉闭塞性病变 静脉动脉化 胫后静脉 

分 类 号：R654.4[医药卫生—外科学]