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[腿部单一主要动脉的旁路移植术。关于100例病例的理论模式及结果]

[Bypass on a single major artery of the leg. Theoretical modalities and results apropos of 100 cases].

作者信息

Lescalie F, Chevalier J M, Enon B, Moreau P, Pillet J

出版信息

J Mal Vasc. 1983;8(4):335-42.

PMID:6663205
Abstract

Sub-crural bypass operations on a single leg artery were analysed retrospectively with a follow-up period ranging from six months to eight years. The vitality of the limb was threatened in the majority of cases (91/96). Whenever possible (79/96) the internal saphenous vein was used as a graft, preferably by the in situ technique. Mortality was 6%. Morbidity with the exception of thromboses was 14.5%. Patency by actuarial analysis was 71.6% at 5 years and 65.8% beyond. The majority of thromboses occurred during the first few months and led, in the majority of cases, to amputation. Secondary thromboses were better tolerated. The influence of various parameters was studied: clinical stage, peroperative flowmeter results, material used, technique, associated procedure (sympathectomy), implantation site and permeable vessel.

摘要

对单条腿部动脉进行的股下旁路手术进行了回顾性分析,随访期为6个月至8年。大多数病例(91/96)肢体活力受到威胁。只要有可能(79/96),就使用大隐静脉作为移植物,最好采用原位技术。死亡率为6%。除血栓形成外,发病率为14.5%。经精算分析,5年时通畅率为71.6%,5年后为65.8%。大多数血栓形成发生在最初几个月,并且在大多数情况下导致截肢。继发性血栓形成的耐受性较好。研究了各种参数的影响:临床分期、术中流量计结果、使用的材料、技术、相关手术(交感神经切除术)、植入部位和可渗透血管。

相似文献

1
[Bypass on a single major artery of the leg. Theoretical modalities and results apropos of 100 cases].[腿部单一主要动脉的旁路移植术。关于100例病例的理论模式及结果]
J Mal Vasc. 1983;8(4):335-42.
2
Popliteal artery aneurysms. Factors associated with thromboembolism and graft failure.腘动脉瘤。与血栓栓塞和移植物失败相关的因素。
Int Angiol. 2004 Mar;23(1):54-65.
3
[Factors determining late patency of aortobifemoral bypass graft].[决定主-双股动脉旁路移植术远期通畅率的因素]
Srp Arh Celok Lek. 1997 Jan-Feb;125(1-2):24-35.
4
Preservation for future use of the autologous saphenous vein during femoro-popliteal bypass surgery is inexpedient.在股腘动脉搭桥手术期间保存自体大隐静脉以供未来使用是不明智的。
Eur J Vasc Endovasc Surg. 2008 Oct;36(4):420-3. doi: 10.1016/j.ejvs.2008.06.012.
5
["Suspended" popliteal artery shunts. A report on 15 cases (author's transl)].["悬吊式"]腘动脉分流术。15例报告(作者译)
J Chir (Paris). 1980 Sep;117(8-9):475-80.
6
[Determining the patency of the distal vascular bed and transplant during operations on the arteries].[在动脉手术中确定远端血管床和移植物的通畅性]
Vestn Khir Im I I Grek. 1988 Mar;140(3):64-7.
7
[Long-term patency of reversed and in situ femoro-popliteal bypasses].[股腘动脉逆行与原位旁路移植术的长期通畅率]
Srp Arh Celok Lek. 1999 Nov-Dec;127(11-12):365-70.
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Long-term results of above knee femoro-popliteal bypass depend on indication for surgery and graft-material.
Eur J Vasc Endovasc Surg. 2005 Apr;29(4):412-8. doi: 10.1016/j.ejvs.2004.12.023.
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The influence of graft type on patency of infrainguinal arterial bypass grafts.移植物类型对股动脉以下动脉搭桥移植物通畅率的影响。
J Am Coll Surg. 1994 Feb;178(2):155-63.
10
Internal arteriovenous fistula within a radial forearm flap--a novel technique to increase femorodistal bypass graft flow to the diabetic foot and flap covering ischaemic tissue loss.桡侧前臂皮瓣内的动静脉内瘘——一种增加股-远端旁路移植术血流量以治疗糖尿病足及覆盖缺血性组织缺损皮瓣的新技术。
Eur J Vasc Endovasc Surg. 2006 Apr;31(4):423-30. doi: 10.1016/j.ejvs.2005.05.006. Epub 2006 Feb 7.

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Triple vessel injury with single penetrating trauma to the lower extremity requiring popliteal to posterior tibial artery bypass.下肢单一穿透伤致三支血管损伤,需行腘动脉至胫后动脉旁路移植术。
Trauma Case Rep. 2018 Apr 24;15:32-35. doi: 10.1016/j.tcr.2018.04.007. eCollection 2018 Jun.