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序贯式动脉重建术治疗下肢动脉硬化闭塞症
引用本文:刘绪舜,景在平,黄晟,包俊敏,赵志青,冯翔,赵珺,冯睿,陆清声,叶必远. 序贯式动脉重建术治疗下肢动脉硬化闭塞症[J]. 解放军医学杂志, 2001, 26(9): 665-666
作者姓名:刘绪舜  景在平  黄晟  包俊敏  赵志青  冯翔  赵珺  冯睿  陆清声  叶必远
作者单位:1. 解放军第81医院普通外科
2. 第二军医大学长海医院,
摘    要:为探讨序贯式动脉重建术在治疗下肢动脉硬化闭塞症中的作用 ,作者回顾性总结了 36例 (4 7条下肢 )下肢多平面动脉硬化闭塞症的外科治疗经验。对 47条下肢行动脉重建术后 ,踝肱指数增加了 (0 35± 0 12 ) ,近期通畅率 10 0 %。死亡 2例 ,1例死于急性肾功能衰竭 ,1例死于急性心肌梗死。两年内通畅率 89 2 % ,5年通畅率 70 2 %。说明序贯式动脉重建术治疗下肢动脉硬化闭塞症是安全有效的 ;手术成功的关键是选择合适的流出道和流入道 ,使移植血管和流出道血管相匹配 ;使用“共同流出道技术”和“生物复合移植物”能增加远期通畅率

关 键 词:下肢动脉硬化闭塞症 序贯式动脉重建术 血管外科手术
修稿时间:2001-05-20

SEQUENCE ARTERIAL RECONSTRUCTION FOR LOWER EXTREMITY ARTERIOSCLEROTIC OCCLUSION
Liu Xushun,Jing Zaiping,Huang Sheng et al. SEQUENCE ARTERIAL RECONSTRUCTION FOR LOWER EXTREMITY ARTERIOSCLEROTIC OCCLUSION[J]. Medical Journal of Chinese People's Liberation Army, 2001, 26(9): 665-666
Authors:Liu Xushun  Jing Zaiping  Huang Sheng et al
Affiliation:Liu Xushun,Jing Zaiping,Huang Sheng et al . Changhai Hospital,Second Military Medical University,Shanghai 200433
Abstract:This study is to evaluate the effect of sequence arterial reconstruction on lower extremity arteriosclerotic occlusion. 36 patients underwent bypass operation. Among them,1 case died of acute renal failure, and 1 case died of acute myocardial infarction. The arterial reconstructive patency rate was 100% after operation, and was 89 2% and 70 2% 2 and 5 years after operation respectively. It is suggsted sequence arterial reconstruction is safe and effective for lower extremity arteriosclerotic occlusion. The key to the successful operation lies in the patent inflow and outflow of the arterial reconstruction. Biocomposite graft in combination with common ostium technique would be helpful.
Keywords:arteriosclerosis obliterans  sequence arterial reconstruction  vascular surgical procedures
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