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[主动脉手术中结肠缺血的预防]

[Prevention of colonic ischemia during surgery of the aorta].

作者信息

Piccinini E, Turicchia G U, Altini R, Ribichini P, Stancanelli V

机构信息

Dpto. de Cirugía, Hospital General, Ravena, Italia.

出版信息

Angiologia. 1990 May-Jun;42(3):112-4.

PMID:2393161
Abstract

The authors report the results of 53 revascularizations of the Inferior Mesenteric Artery, performed during 315 aortic reconstructive procedures, in 19 (35.85%) cases out of a group of 102 aortic aneurysms and 34 (74.15%) cases in a group of 213 aorto-iliac obstructive lesions. The "Carrel patch" technique was always used for the aneurysms of the aorta abdominal cases, whilst this technique was always adopted for only 21 obstructive patients; in the remaining 13 a personal technique was used and is here described. The long term results show a good patency rate (63.7%) for the reimplanted artery, planted artery, but above all no case of colonic ischemia in this group to compare with the 3 cases occurred in the no reimplanted group.

摘要

作者报告了在315例主动脉重建手术中进行的53次肠系膜下动脉血运重建的结果,其中102例腹主动脉瘤患者中有19例(35.85%),213例主-髂动脉阻塞性病变患者中有34例(74.15%)。对于腹主动脉瘤病例,总是采用“卡雷尔补片”技术,而对于仅21例阻塞性患者也总是采用该技术;在其余13例中使用了一种个人技术,在此进行描述。长期结果显示,再植动脉的通畅率良好(63.7%),但最重要的是,该组中没有发生结肠缺血的病例,而未进行再植的组中有3例发生结肠缺血。

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