BYPASSOFSMALLSAPHENOUSVEININSITUFORLOWERLIMBARTERIALISCHEMIA_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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DepartmentofVascularSurgery,AffiliatedHospitalofHubeiCollegeTCM,Wuhan430061;

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Keywords：

ArterialobliteransdiseaseSmallsaphenousveinBypass

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Toinvestigatenewgraftmaterialsforreconstructionofarterialcirculationforlowerlimbsarterialischemia,authorstreated18patientswith24ischemiclowerlimbswithbypassofsmallsaphenousveininsitufromMay,1992toMay,1997whowerefollowedupforonetofiveyears.Theshorttermresultshowedthatischemicsymptomswereimprovedsignificantlyin88.8%oflimbs.Goodorexcellentrateofthelongtermresultreached83.3%.Thepatencyrateofthegraftbythelifetableanalysisin1,3and5yearswas95.8%,79.6%and70.0%respectively.Weconcludethatusingsmallsaphenousveinasthegraftmaterialtoreconstructthecirculationoftheischemiclegisagoodoperationforlongsegmentofarteriosclerosisobliterans(ASO)andthromboangiitisobliterans(TAO)withtheocclusionofthreebranchesinferiortopoplitealartery.Ithastheadvantagesofnolimittolength,unnecessarilypredamagingvalvesandligatingbranchesinfullcourseconsequentlytoavoidreversionanddistortion.

Citation： WangChaosheng,LiuChanghua,HeGanxiang,etal.. BYPASSOFSMALLSAPHENOUSVEININSITUFORLOWERLIMBARTERIALISCHEMIA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1999, 6(4): 230-232. doi: Copy

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1. 　DavusAS.Rebairoflataveingraftocclusion.ArchSurg,1971;103(3)∶23.
2. 　HallKV.Thegreatsaphenousveininsituasanarterialshuntafterextirpationoftheveinvalves.Surg,1962;51(8)∶492.
3. 　景在平,曹贵松,仲剑平等.原位旁路术治疗下肢动脉缺血症.中华外科杂志,1996;34(7)∶391.
4. 　符伟国,王玉琦,郭大乔等.原位大隐静脉动脉旁路术治疗下肢动脉硬化闭塞症.中华外科杂志,1996;34(9)∶549.
5. 　黄家驷,吴阶平主编.外科学.第1版.北京:人民卫生出版社,1984∶891～893.
6. 　王朝生,尹　红,刘俐伶等.复合静脉动脉化治疗血栓闭塞性脉管炎的临床研究.中国普通外科杂志,1997;6(4)∶193.
7. 　裴玉　主编.周围血管病学.第1版.北京:科学技术出版社,1993∶343～344.
8. 　岳少英,董望华,张巧德.小隐静脉的应用解剖.解剖学杂志,1985;8(1)∶55.
9. 　王嘉桔.TAO动脉造影研究的初步报告.中华放射学杂志,1964;4(9)∶335.
10. 　王嘉桔.肢体慢性动脉闭塞性疾病诊治的一些问题.中国实用外科杂志,1988;8(2)∶90.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

BYPASSOFSMALLSAPHENOUSVEININSITUFORLOWERLIMBARTERIALISCHEMIA

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