人工血管移植感染的显微外科治疗

Microsurgical treatment of infected extremities after blood vessel prosthesis

目的报道人工血管移植感染显微外科治疗的临床疗效。方法从1998年1月至2008年12月，应用健侧肢体血管桥式交叉供血营养患肢治疗人工血管移植感染8例，其中股动、静脉4例，胭动、静脉2例，腋动、静脉2例。结果术后随访3年，所有肢体血液供应良好，肢体外形及功能恢复。结论应用健侧肢体血管桥式交叉供血营养患肢可有效恢复人工血管移植后感染肢体的血液供应，降低截肢率。

Objective To report the clinical effects of microsurgery in treatment of infected extremities after blood vessel prosthesis were transplanted. Methods From Jan. 1998 to Dec. 2008, 8 cases of major vascular injuries in extremities were blood-supplied by cross bridge vascular anastomosis from uninjured extremities, including 4 cases of femoral artery and vein, 2 cases of popliteal artery and vein, and 2 cases of brachial artery and vein. Results After 3 years of follow-up, blood circulation of infected extremities were reestablished in each of 8 cases, as well as function and appearance recovered. Conclusion The procedure of cross bridge vascular anastomosis from uninjured extremities may efficiently restitute the blood supply of the infected extremities after blood vessel prosthesis were transplanted, and decrease the rate of amputation.