剖解外腋—股,股—股动脉旁路移植术治疗主髂动脉闭塞症

目的 探讨剖解外腋－股、股－股动脉旁路移植术治疗主髂动脉闭塞症的疗效。方法 采用解剖外旁路移植术治疗主骼动脉闭塞症患者３２例。１８例腹主动脉或两侧髂动脉闭塞者采用腋－股动脉旁路术,其中２例为腋－两股动脉旁路术;１４例单侧髂动脉闭塞者采用股－对侧股动脉旁路术。采用腋－肌动脉旁路的患者,术中８例用真丝人造血管移植,１０例四氟乙烯（Ｇｏｒｅ－Ｔｅｘ）人造血管;股－股动脉旁路术中６例用真丝人造血管移植,１

Extra-anatomy axillary-femoral or femoro-femoral bypass grafting for the treatment of aorta-iliac occlusive disease

OBJECTIVE: To study the result of extra-anatomy axillary-femoral or femoro-femoral bypass grafting which was performed to treat aorta-iliac arterial occlusive disease. METHOD: From 1978 through 1997, 32 patients with aorta-iliac occlusive disease underwent extra-anatomy axillary-femoral or femoro-femoral bypass grafting at our hospital. Eighteen patients with aorta or bilateral iliac artery occlusive lesion underwent axillary-femoral artery bypass, including axillary-bifemoral artery bypass (2 patients). Fourteen patients with one side iliac arterial occlusive lesion received femoro-femoral bypass grafting. In who had had axillary-femoral artery bypass 18 patients, 8 received, pure silk prosthesis, and 10 Gore-Tex prosthesis. In femoro-femoral arterial bypass, pure silk prosthesis was given to 8 patients, saphenous vein to one, and Gore-Tex prosthesis to 7. RESULT: Follow-up for 5 years, a patency rate of 78% was achieved in femoro-femoral artery bypass, in which no different patency rate was found between pure silk prosthesis and Gore-Tex prosthesis. In axillary-femoral bypass, eight pure silk prostheses were occluded after 5-year follow-up. One of 10 Gore-Tex prostheses was occluded, and false aneurysm in groin was found in another patient. CONCLUSION: This operation is easy and safe, it has less damage and no abdominal complication. The recovery of the patient is quick. Pure silk prostheses are only used in short segment femoro-femoral bypass grafting.