Connolly J E, Kwaan J H
Arch Surg. 1982 Dec;117(12):1551-7. doi: 10.1001/archsurg.1982.01380360027006.
Our 20-year results with in situ saphenous vein grafting in the lower extremity were reviewed and compared wih those where reversed saphenous veins were employed. The ten-year patency rates for both types of grafts terminating at the popliteal artery ranged from 41% to 43% and showed no statistical difference. The reversed saphenous vein performed well in the femoropopliteal position because the vein is usually of the same size at the knee as in the groin and thus does not taper when reversed. We have identified from our study specific indications for the in situ operation. These indications are the presence of small or substantially tapering or bifurcating great saphenous veins that otherwise would be unsatisfactory for conventional reversed vein grafting. We believe that the in situ saphenous vein operation should be considered before resorting to prosthetic leg grafts that carry a lower long-term patency, particularly when carried below the knee.
我们回顾了20年来下肢原位隐静脉移植的结果，并与使用反转隐静脉的结果进行了比较。两种类型的移植血管在腘动脉处的10年通畅率在41%至43%之间，无统计学差异。反转隐静脉在股腘部位表现良好，因为该静脉在膝关节处通常与腹股沟处大小相同，因此反转时不会变细。我们从研究中确定了原位手术的具体适应症。这些适应症包括存在小的、明显变细或分叉的大隐静脉，否则这些静脉对于传统的反转静脉移植来说是不理想的。我们认为，在考虑使用长期通畅率较低的人工血管移植之前，尤其是在膝关节以下进行移植时，应考虑原位隐静脉手术。
