原位旁路手术的10年经验

[10 years' experience with the in situ bypass].

作者信息

Gruss J D, Vargas-Montano H, Bartels D, Fietze-Fischer B

出版信息

Langenbecks Arch Chir. 1985;366:317-8. doi: 10.1007/BF01836654.

Abstract

From October 1, 1974 to March 31, 1984 467 femoropopliteal and femorotibial in situ vein bypasses were performed. Valvular incompetence is produced by the use of modified Hall strippers. The intraoperative angiography is mandatory to localize the tributaries and to detect pathological findings of the vein and technical errors. Overall cumulative patency rates were 84, 76, 71, and 67%, at 2, 5, 8 and 10 years. Cumulative patency rates for 117 tibial bypasses separately were 72, 68, and 68% at 2, 5 and 8 years.

摘要

1974年10月1日至1984年3月31日期间，共进行了467例股腘和股胫原位静脉搭桥手术。使用改良的霍尔剥脱器造成瓣膜功能不全。术中血管造影对于定位分支以及检测静脉的病理表现和技术失误是必不可少的。2年、5年、8年和10年的总体累积通畅率分别为84%、76%、71%和67%。117例胫动脉搭桥手术的2年、5年和8年累积通畅率分别为72%、68%和68%。