血管移植在肢体血管损伤中的应用  

The use of graft implantation in the management of vascular injuries in limbs

作　　者：李松奇[1] 林勇杰[1] 叶财盛[1] 詹世光[1] 李晓曦[1] 

机构地区：[1]中山医科大学附属第一医院血管外科,广东省广州市510080

出　　处：《中华显微外科杂志》2000年第2期102-103,共2页Chinese Journal of Microsurgery

摘　　要：目的　总结应用血管移植在肢体血管损伤修复中的临床效果。　方法　采用自体静脉和人工血管 ,用不同的吻合方式对 5 3条损伤的血管进行血管移植。　结果　除 2例术后截肢外 ,其余移植血管均通畅 ,远端肢体循环良好 ,肢体无肿胀。　结论　动脉、静脉损伤 2 cm以上均需行血管移植 ,尽量采用自体静脉移植 ,必要时可使用人造血管 ,血管吻合时应遵循显微外科原则。Objective To evaluate the role of graft implantation in the management of vascular injuries in limbs Methods Different kinds of graft implantation were performed in treatment of 53 cases of vascular injuries Result Two cases were proceeded amputation In the other cases,blood flow in the graft was satisfactory,and there was good condition of blood circulation and no edema at the distal part of the extremeties Conclusion Graft implantation must be performed when the vascular injury was longer than 2 cm Autogenous vein was the first choice of graft material Prosthetic material was another choice when necessary The operation must be proceeded following the roles of microsurgery

关 键 词：血管重建术 肢体血管损伤 血管移植 

分 类 号：R654.3[医药卫生—外科学]