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一期大隐静脉动脉化治疗下肢严重缺血症
引用本文:宁富民,陈国锐,李全业,马建青,吴中南.一期大隐静脉动脉化治疗下肢严重缺血症[J].中国修复重建外科杂志,1998,12(4):215-217.
作者姓名:宁富民  陈国锐  李全业  马建青  吴中南
作者单位:1. 广州军区总医院普外科,广东广州,510010
2. 中山医科大学附属第一医院血管外科
3. 解放军第一医院普外科
摘    要:为探索一期大隐静脉动脉化治疗下肢严重缺血症的效果,采用自体头静脉或Goretex人造血管,在大隐静脉与患肢股动脉或髂外动脉之间搭桥,治疗89例127侧下肢严重缺血症患者。结果表明,术后下肢缺血性疼痛消失,皮肤温度及颜色恢复正常,足趾及跖部创面愈合,多普勒超声探测及动脉造影提示患足血供良好。认为,一期大隐静脉动脉化搭桥术不影响静脉血回流,方法简便,效果良好;使用血管搭桥可使这一术式应用范围更广

关 键 词:大隐静脉  静脉动脉化  缺血

RTERIALIZATION OF THE GREAT SAPHENOUS VEIN FOR TREATING SEVERE ISCHEMIA OF LOWER LIMBS
F Ning,G Chen,Q Li.RTERIALIZATION OF THE GREAT SAPHENOUS VEIN FOR TREATING SEVERE ISCHEMIA OF LOWER LIMBS[J].Chinese Journal of Reparative and Reconstructive Surgery,1998,12(4):215-217.
Authors:F Ning  G Chen  Q Li
Institution:Department of General Surgery, Guangzhou Military General Hospital, Liu Hua Qiao Hospital, P.R. China.
Abstract:This study was to observe the result in patients suffering from severe ischemia of legs with arterialization of the great saphenous vein. Eighty nine patients suffering from the disease were treated by bridging the autogenous cephalic vein or Gore-Tex artificial vessel between the great saphenous vein and the femoral or external iliac arteries. The results showed that the blood supply of the affected legs was increased immediately after operation. The ulcers of the toes and the plantar areas were healed gradually and the pain relieved. It was concluded that this method did not interfere with the reflux of the venous blood in the diseased limbs. This method was simple, safe and effective for treating severe ischemia of the lower limbs.
Keywords:Great saphenous vein    Arterialization    Ischemia
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