用于肢体挽救的股胫旁路术。

Femoral-tibial bypass for limb salvage.

作者信息

Ketonen P, Harjola P T, Ala-Kulju K, Salo J, Sipponen J, Verkkala K, Suomalainen-König S, Tolppanen E M

出版信息

Vasa. 1989;18(1):9-12.

Abstract

From 1967 to 1982, 305 femoral tibial bypasses were performed. Of these 180 (59%) were performed on limb salvage indication. A reversed autogenous saphenous vein was used in 134 instances, among 46 vein substitutes there were 15 vein allografts, 13 human umbilical cord vein grafts, 12 PTFE grafts and six dacron grafts. Hospital mortality was six patients. An additional 37 patients died during the follow-up period. The patency rates for saphenous vein bypass grafts were 62.5%, 48%, and 25% at one, five, and ten years, respectively, and 33% and 25% at one and five years, respectively, for the vascular substitutes. The mean +/- SD follow-up time was 62.27 +/- 5.7 months. During the early postoperative period 23 legs (12.7%) had to be amputated. During the follow-up period an additional 14 legs (7.8%) were lost giving a limb salvage rate of 79.5%.

摘要

1967年至1982年期间，共进行了305例股胫动脉搭桥手术。其中180例（59%）是出于肢体挽救的指征进行的。134例使用了自体大隐静脉倒转移植，在46例静脉替代物中，有15例同种异体静脉移植、13例人脐带静脉移植、12例聚四氟乙烯移植和6例涤纶移植。医院死亡6例。随访期间又有37例患者死亡。大隐静脉搭桥移植的通畅率在1年、5年和10年时分别为62.5%、48%和25%，血管替代物在1年和5年时的通畅率分别为33%和25%。平均随访时间为62.27±5.7个月。术后早期有23条腿（12.7%）不得不截肢。随访期间又有14条腿（7.8%）失去功能，肢体挽救率为79.5%。