Husni E A
J Cardiovasc Surg (Torino). 1983 Sep-Oct;24(5):525-8.
The reconstruction of veins is gradually gaining acceptance as a valuable surgical tool in alleviating or ameliorating the disability of venous occlusion in both trauma and post-thrombotic conditions. A study of 169 consecutive cases of venous reconstruction on the vascular service was undertaken in an effort to help (1) identify candidates, (2) select the reconstructive procedure, and (3) analyze the role of the adjuvant arteriovenous fistula. One hundred nineteen procedures were performed in post-phlebitic disease, including fifteen cases of adjuvant arteriovenous fistula, 42 in patients with trauma and the remaining eight were undertaken to rectify venous obstruction resulting from extrinsic pathology. While the clinical results appear promising, objectivity in the evaluation of venous reconstruction with phlebograms and pressure studies is greatly needed before definitive conclusions can be drawn.
静脉重建作为一种有价值的外科工具，在缓解或改善创伤和血栓形成后静脉闭塞所致残疾方面正逐渐得到认可。我们对血管科连续169例静脉重建病例进行了研究，旨在（1）确定合适的患者，（2）选择重建手术方式，以及（3）分析辅助动静脉瘘的作用。其中119例手术用于治疗静脉炎后疾病，包括15例辅助动静脉瘘手术；42例用于治疗创伤患者；其余8例用于纠正外部病变导致的静脉阻塞。虽然临床结果看起来很有前景，但在得出明确结论之前，非常需要通过静脉造影和压力研究对静脉重建进行客观评估。
