Corson J D, Karmody A M, Shah D M, Naraynsingh V, Young H L, Leather R P
Surgery. 1984 Oct;96(4):756-63.
To better define the limits of tibial reconstruction with saphenous vein bypass, we have analyzed our experience with the in situ vein valve incision technique in 83 cases of bypasses to the ankle or foot and 13 cases of bypasses to discontinuous tibial vessels. Bypasses to the ankle and foot had a 36-month cumulative patency rate of 70.4%. No statistical difference was noted with the use of small-caliber veins. The length of the bypass did not prejudice the long-term patency rate. Discontinuous tibial vessels can be used satisfactorily as an outflow tract for limb salvage.
为了更好地界定大隐静脉旁路移植进行胫骨重建的限度,我们分析了采用原位静脉瓣膜切开技术对83例踝关节或足部旁路移植以及13例不连续胫骨血管旁路移植的经验。踝关节和足部旁路移植的36个月累积通畅率为70.4%。使用小口径静脉未发现统计学差异。旁路移植的长度不影响长期通畅率。不连续的胫骨血管可作为肢体挽救的满意流出道。