带分支静脉成形静脉移植修复四肢动脉损伤

为了探讨静脉游离移植时扩大吻合口口径的新方法及其修复动脉损伤的效果，自１９９０年４月设计带分支静脉成形静脉移植术，即利用移植静脉的分支将吻合口扩大并呈漏斗型，经离体新鲜血管实验成功后，在临床上用以修复四肢动脉损伤。结果表明，带分支静脉成形静脉移植可使移植的静脉吻合口口径增加１倍～１．２５倍。临床用于修复四肢动脉损伤３例，均获得成功。认为，带分支静脉成形静脉移植术作为静脉移植的新方法，具有容易成形，取材方便，吻合口扩大率高，可克服吻合口口径差等优点，能明显提高吻合口质量，是修复四肢口径不等的动脉缺损和大动脉缺损的较好方法

A NEW METHOD TO REPAIR ARTERY INJURIES IN EXTREMITIES BY PHLEBOPLASTY OF BRANCHED VEIN GRAFT

In order to develope a new method to overcome the difficulties in anastomosis of blood vessels with different diameter, phleboplasty was utilized at the join-point to expand the diameter of branched vein graft, with a funnel-shaped stoma formed consequently. After successfully experimented in fresh blood vessels in vitro, the method was practised clinically to repair injured arteries in extremities, with the outcome that phleboplasty of branched vein graft could enlarge the diameter by 1-1.25 times, and with satisfied effects in 3 clinic cases. So, the conclusion was that: phleboplasty of branched vein graft was a new effective and convinient method to repair injured arteries with different diameters.