自体大隐静脉移植治疗下肢缺血性疾病临床研究

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (04) : 334-336.

Chinese Journal of Practical Surgery ›› 2013, Vol. 33 ›› Issue (04) : 334-336.
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Abstract

Clinical application of autogenous sapheneous vein in lower limb ischemic disease        AIZEZI Abudureyimu, TIAN Ye, SAILIKE Magaoweiya, et al. Department of Digestive & Vascular Surgery, First Hospital of Xinjiang Medical University, Urumqi 830054, China
Corresponding author: WEN Hao, E-mail:dr.wenhao@163.com
Abstract    Objective    To explore the clinical application and effectiveness of autogenous sapheneous vein in the treatment of lower limb ischemic disease. Methods    Thirty two arteries of 32 patients (27 male, 5 female) with arteriosclerosis obliterans, thromboangitis obliterans and Fontaine stage Ⅲ and Ⅳ lower limb with ischemic manifestation of segmental artery occlusion disorder caused by arterial injury were operated by artery bypass grafting after with inside-out autogenous great saphenous vein graft, endarterectomy with artery angioplasty by using great saphenous vein patch from October 2010 to April 2012 in Department of Vascular Surgery, First Hospital of Xinjiang Medical University. Results    The ischemic symptoms and life quality of 32 patients were improved to various degree. Resting pain was disappeared post-operatively and the foot ulcer was cured at 1-2 month. The mean follow-up was 9.5 months (2-17 months). Intermittent claudication in most patients was improved significantly. There is no amputation performed with limb salvage rate 100%. Conclusion    The clinical application of autogenous sapheneous vein in the treatment of lower limb ischemic disease according to pathological position and degree is a cheap, effective method.

Key words

lower limb ischemic disease / autogenous sapheneous vein / arterial bypass

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