大隐静脉一期原位动脉化治疗严重下肢缺血

TREATMENT OF ISCHEMIA IN LOWER EXTREMITIES BY PRIMARY ARTERIZATION IN SITU OF VANA SAPHENA MAGNA

总结治疗血栓闭塞性脉管炎导致肢体严重缺血、坏死的经验。１９９５年１月～１９９７年１月，采用大隐静脉一期原位静脉动脉化加大隐静脉瓣膜破坏方法治疗１５例（２８条肢体）血栓闭塞性脉管炎所致肢体的缺血。经４个月～２６个月随访，１４例症状缓解明显，１例８年前曾在外院作静脉动脉化手术治疗者效果较差。此术式一期完成，操作简便，肢体远端血循环改善迅速，症状缓解满意，不影响静脉回流。认为，有足趾坏疽者。

In order to summarize the experience in the treatment of ischemic necrosis of lower extremities resulted from thrombotic occluded angittis, 15 cases were reported, which were treated by primary arterization in situ of V. Saphena magna. With a period of followup, 4～26 months on the average, it was found that symptoms in 14 cases were much allayed obviously, except 1 case with little relief. It suggested that primary arterization in situ of V. saphena magna could improve the circulation of the ischemic extremity rapidly without any influence of venous reflux.