闭孔旁路术的长期结果
Long-Term Results of Obturator Bypass.
作者信息
Masaki Hisao, Tabuchi Atsushi, Yunoki Yasuhiro, Kuwata Noriaki, Tamura Taishi, Honda Takeshi, Takiuchi Hiroki, Yamasawa Takahiko, Furukawa Hiroshi, Kuinose Masahiko, Tanemoto Kazuo, Watanabe Yoshiko
机构信息
Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Department of First Physiology, Kawasaki Medical School, Kurashiki, Okayama, Japan.
出版信息
Ann Vasc Dis. 2016;9(2):80-4. doi: 10.3400/avd.oa.15-00085. Epub 2016 Mar 11.
OBJECTIVE
We evaluated the long-term outcomes of obturator bypass.
MATERIAL AND METHODS
A total of 16 patients (13 males and 3 females; 17 limbs) who underwent obturator bypass surgery at our department between April 1995 and March 2008 were included.
RESULTS
Their ages ranged from 50 to 90 with a mean of 74 years. Inguinal infections observed in the 16 patients consisted of vascular graft infections in 13 patients, hemostatic device infections following endovascular therapy in two patients, and femoral artery infections following coronary angiography in one patient. The cumulative patency rate was 69% for 3 years and 43% for 5 years. The cumulative survival rate was 64% for 3 years and 55% for 5 years.
CONCLUSION
Obturator bypass surgery was successfully performed with favorable results for arterial infections and vascular graft infections in the inguinal region.
目的
我们评估了闭孔旁路术的长期疗效。
材料与方法
纳入1995年4月至2008年3月间在我科接受闭孔旁路手术的16例患者（13例男性，3例女性；17条肢体）。
结果
他们的年龄在50至90岁之间，平均年龄为74岁。16例患者中观察到的腹股沟感染包括13例血管移植物感染、2例血管内治疗后止血装置感染以及1例冠状动脉造影后股动脉感染。3年累计通畅率为69%，5年为43%。3年累计生存率为64%，5年为55%。
结论
闭孔旁路手术成功实施，对腹股沟区动脉感染和血管移植物感染取得了良好效果。
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