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用于糖尿病患者肢体挽救的腘动脉至远端旁路移植术

Popliteal-to-distal bypass grafts for limb salvage in diabetics.

作者信息

Stonebridge P A, Tsoukas A I, Pomposelli F B, Gibbons G W, Campbell D R, Freeman D V, Miller A, LoGerfo F W

机构信息

Harvard-Deaconess Surgical Services, New England Deaconess Hospital, Boston, Massachusetts.

出版信息

Eur J Vasc Surg. 1991 Jun;5(3):265-9. doi: 10.1016/s0950-821x(05)80508-0.

DOI:10.1016/s0950-821x(05)80508-0
PMID:1864392
Abstract

Between January 1984 and August 1989, 117 diabetic patients with a palpable popliteal pulse but distal limb threatening ischaemia underwent 124 popliteal artery (or below) to distal bypass grafts. All grafts were intra-operatively monitored. The operative mortality was 0.8% and the 30 day primary patency 93%. Primary patencies at 1 and 3 years were 88.6 and 85.2%, respectively. The results of using the popliteal artery as the proximal graft inflow site in diabetes are comparable to other patient groups and to alternative more proximal inflow sites, but require a shorter length of vein graft with a shorter vein harvesting incision, avoid groin disection and result in a more peripheral operation.

摘要

1984年1月至1989年8月期间,117例糖尿病患者腘动脉搏动可触及但肢体远端存在缺血威胁,接受了124次腘动脉(及以下)至远端的搭桥手术。所有移植血管均在术中进行监测。手术死亡率为0.8%,30天的初始通畅率为93%。1年和3年的初始通畅率分别为88.6%和85.2%。在糖尿病患者中,将腘动脉作为近端移植血管流入部位的结果与其他患者群体以及其他更近端的流入部位相当,但所需的静脉移植血管长度较短,静脉采集切口较短,避免了腹股沟解剖,且手术部位更靠外周。

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Ann Vasc Dis. 2017 Sep 25;10(3):223-8. doi: 10.3400/avd.oa.17-00049.
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