股深动脉重建下肢组织血供的临床研究

采用股深动脉作为流出道和流入道施行旁路转流术治疗下肢动脉硬化闭塞症２２例，共３１条患肢。２２例已随访６～５０个月，平均２４．５个月。疗效良好者１９例；１例症状好转；１例保留足跟的截足者，仅保持户内活动，但生活自理；另１例术后６个月，因严重感染作膝下截肢术。作者认为，当髂股或股浅动脉广泛闭塞时，股深动脉作为流入道和流出道，为重建下肢血液循环起到了重要的作用。术前控制糖尿病并通过动脉造影了解股深动脉的通畅情况，是取得满意疗效的重要条件。

STUDY ON THE ROLE OF THE PROFUNDA FEMORIS IN THE TREATMENT OF THE LOWER ISCHEMIC LIMBS

From April 1990 to December 1996, 15 patients with aorto ilio femoral or femoral atherosclerotic occlusive disease were treated with aorto profunda bypass grafting: 5 patients were performed with profundoplasty; 2 patients were treated with profunda popliteal artery bypass. The excellent results of the 19 patients were confirmed after a mean follow up period of 24.5 months. Two patients had improvement after operation. Amputation was performed in one limb after 6 months of operation because of severe inflammation. The authors considered that the profunda femoral artery plays an important role in aorto femoral artery reconstruction. It is a good inflow or outflow providing arterial blood to severely ischemic legs with occlusion of aorto ilio superficial, ilio superficial or superficial femoral arteries.