静脉动脉化治疗下肢动脉广泛性闭塞性病变的疗效评价  

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

作　　者：杨华[1] 易军[1] 宁莫凡[1] 王岭[1] 凌瑞[1] 李南林[1] 

机构地区：[1]第四军医大学西京医院血管外科,陕西西安710033

出　　处：《医学信息》2009年第10期2081-2084,共4页Journal of Medical Information

摘　　要：目的评价应用静脉动脉化治疗下肢动脉广泛性闭塞性病变的疗效。方法应用静脉动脉化治疗下肢动脉广泛性闭塞性病变46例(56个肢体)。其中:①浅静脉型:在大隐静脉与股浅动脉或腘动脉之间行动静脉转流术;②高位深静脉型:在股浅静脉或腘静脉与股浅动脉或腘动脉之间行动静脉转流术;③低位深静脉型:为应用腘静脉的分支静脉作为动脉血流的灌注通道。结果术后患者疼痛症状消失、皮温升高。经观察3个月至15年,除4例(4个肢体)又分别行截肢及带蒂网膜移植术外,其余肢体治疗效果良好。结论该方法具有手术一期完成、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 the treatment of peripheral arterial extensive occlusive disease. Methods We applied one stage arterialization of posterior tibial yein to treat 46 cases （56 limbs） of peripheral arterial extensive occlusive disease. Results After operation the patients＇s pain symptom has disappeared. Skin temperature has gone up. Follow-up observations from 3 months to 15 years showed two limbs were amputated and two limbs were operationed on with pedicale omental transfer and the result of other limbs were satisfactory. Conclusions This operation technique has advantages of one-stage procedure, a number of indications, little influence to venous return and rapid relief of isehemic symptoms.

关 键 词：动脉闭塞性病变 静脉动脉化 胫后静脉 

分 类 号：R658.3[医药卫生—外科学] R445.1[医药卫生—临床医学]