概括
关节下动脉狭窄手术结果显示,内关节切除术和达克伦旁路移植产生了优秀的长期结果. 由于高血栓形成率,绕道自生静脉移植的结果并不令人满意.
科学领域:
- 血管外科 血管外科
- 心血管疾病 心血管疾病
- 外科手术的结果
背景情况:
- 关节下动脉狭窄可以导致神经症状或肢体缺血.
- 经典的关节下骨架脱骨综合征是一种不常见的表现.
研究的目的:
- 评估关节下动脉狭窄的外科手术的长期疗效.
- 为了比较下关节内关节切除术和带下关节绕道的结果,使用不同的移植材料.
主要方法:
- 在过去12年中,对38名因关节下动脉狭窄而接受手术的患者进行了回顾性审查.
- 外科手术包括动脉关节下关节绕道 (n=20) 和关节下关节内关节切除 (n=14).
- 绕道的移植材料是达克龙 (n=8) 和自生沙芬静脉 (n=12).
主要成果:
- 关键下关节内关节切除术显示出很好的结果,13/14名患者仍然无症状,没有复原.
- 用达克伦移植进行的关节关节下关节绕道没有发生血栓形成或狭窄.
- 自生沙芬静脉移植的血栓形成率很高 (5/12) 并不令人满意.
结论:
- 使用达克隆移植的关节下关节切除术和关节下关节绕道术为关节下动脉狭窄提供了优秀的长期结果.
- 在这种情况下,由于移植通透性差,不建议在短时间的绕道中使用自生沙芬静脉.
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