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动静脉瘘在治疗弥漫性动脉疾病中的疗效

[The efficacy of arterio-venous fistulas in the treatment diffuse arterial diseases].

作者信息

Gaibov A D, Sultanov D D, Kalmykov E L, Karim-zade B D

出版信息

Khirurgiia (Mosk). 2012(11):63-8.

PMID:23258362
Abstract

The experience of treatment of 32 patients with diffuse peripheral arterial diseases was analyzed. All patients underwent the by-pass surgery with the formation of unloading arterio-venous fistulas. Indications to the formation of A-V fistula was the high peripheral resistance of the vascular wall. 4 variants of by-pass were used: the side-by-side by-pass n=14; the preanastomotic adjuvant arterio-venous shunt n=7; and 2 original author modification. The analysis of the results demonstrated no statistical difference between A-V shunts modifications. However, the methods, proposed by the authors has some advantages due to the higher increase of the perfusion area.

摘要

分析了32例弥漫性外周动脉疾病患者的治疗经验。所有患者均接受了形成卸载动静脉瘘的旁路手术。形成动静脉瘘的指征是血管壁外周阻力高。使用了4种旁路变体:并列旁路n = 14;吻合前辅助动静脉分流n = 7;以及2种作者原创的改良方法。结果分析表明动静脉分流改良方法之间无统计学差异。然而,作者提出的方法具有一些优势,因为灌注面积增加得更多。

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