人造血管旁路移植术治疗下肢动脉硬化闭塞症  

Artifical vessel bypass transplantation to treat arteriosclerotic occlusion of lower extremities.

作　　者：李松奇[1] 林勇杰[1] 叶财盛[1] 常光其[1] 王深明[1] 

机构地区：[1]中山医科大学附属第一医院血管外科,广州510080

出　　处：《中国实用外科杂志》2000年第6期345-346,共2页Chinese Journal of Practical Surgery

摘　　要：目的　提高下肢动脉硬化闭塞症的治疗水平。方法　对 31例下肢动脉硬化闭塞症病人行解剖性旁路术 2 4例 ,解剖外旁路术 7例。结果　术后所有病人临床症状减轻或消失 ,肢体溃疡愈合。 4例病人术后 2～ 3个月行截肢术。结论　对于膝关节以上病变者采用人造血管有较好的效果 ,而膝关节以下病人不宜采用人造血管。Objective To investigate the treatment of atherosclerotic ischemia of lower extremities.Methods The data of 31 cases of atherosclerotic ischemia of lower extremities were summarized.Among them,24 cases got anatomical bypass,and 7 cases got extraanatomic bypass.Results After operation,symptoms like pain of lower extremities disappear or was not so severe,ulcers at the extremities were cured.There were 4 patients resulting in amputation 2 to 3 months after operation.Conclusion To get the best treatment effect,grafts used for above-knee bypass can be artificial vessels but those for below-knee bypass must be autogenous vessels.

关 键 词：人造血管旁路移植术 下肢动脉硬化闭塞症 疗效 

分 类 号：R654.405[医药卫生—外科学]