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目的　探讨锁骨下动脉闭塞症外科治疗的方法。方法　2 0 0 2年1月至2 0 0 3年4月中山大学附属第一医院共收治8例有症状的锁骨下动脉起始段闭塞病人。其中,6例采用锁骨下动脉切断移位与颈总动脉吻合,2例采用颈总动脉锁骨下动脉搭桥重建。结果　所有病人术后症状全部消失,无手术并发症,随访期间内无锁骨下动脉再狭窄、闭塞。结论　血管重建是治疗有症状的锁骨下动脉闭塞的有效方法,但应根据受累血管的具体情况正确选择术式。

Arterial reconstruction for subclavian artery obstructive disease: an analysis of 8 cases

Objective To explore surgical treatment for obstruction of subclavian artery. Methods From January 2002 to April 2003,arterial reconstruction was used in the treatment of 8 symptomatic patients with subclavian arterial obstruction,carotid-subclavian transposition for 6 cases and carotid-subclavian by pass for 2 cases in the First Affiliated Hospital of Sun Yet-sen University. Results All symptoms disappeared after operation in all cases.There was no complication and no recurrence in following up period. Conclusion Arterial reconstruction is an effective method for the treatment of symptomatic subclavian artery obstruction.The surgical procedure should be chosen based on the artery involved.