Jiang M E
9th People's Hospital, Shanghai 2nd Medical University.
Zhonghua Wai Ke Za Zhi. 1992 Mar;30(3):134-6, 188.
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.
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。