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[临时远侧动静脉瘘在血栓形成后髂股静脉闭塞治疗中的应用]

[Temporary distal arteriovenous fistula in the treatment of post-thrombotic iliofemoral occlusion].

作者信息

Jiang M E

机构信息

9th People's Hospital, Shanghai 2nd Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1992 Mar;30(3):134-6, 188.

PMID:1473378
Abstract

Post-thrombotic iliofemoral occlusion, not rarely encountered, causes significant long-term disability of the patients. Satisfactory method of treatment is not available. Temporary distal arteriovenous fistula was made in 9 patients (10 legs) with iliofemoral occlusion with excellent results which were confirmed by average follow-up of 2 years. The mechanism is thought to be that after surgery the arteriovenous fistula may open and dilate the pelvic venous collaterals to relieve the venous hypertension of the diseased limbs.

摘要

血栓形成后髂股静脉闭塞并不罕见,会导致患者出现严重的长期残疾。目前尚无令人满意的治疗方法。对9例(10条腿)髂股静脉闭塞患者进行了暂时性远端动静脉造瘘术,效果良好,平均随访2年得到证实。其机制被认为是手术后动静脉瘘可能开放并扩张盆腔静脉侧支,以缓解患肢的静脉高压。

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