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Войти в исследования Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2007
[Reconstruction of femoral artery with external jugular vein graft].
Клинический случайАннотация на английскомСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Chen Yeanzhuang, Ma Gunshao, Zhang Min
Аннотация
OBJECTIVE: To introduce the treatment and clinical result of reconstructing femoral artery with external jugular vein graft.
METHODS: From June 2002 to April 2Q06, 22 cases of femoral artery defects caused hy pseudoaneurysm resection, were reconstructed with external jugular vein graft hy microsurgical technique. There were 20 males and 2 females, aging 25-46 years (mean 31.2 years). The length of femoral artery defects was 5-9 cm, with an average of 6.8 cm. The location was left in 14 cases and right in 8 cases.
RESULTS: Ten cases achieved healing hy the first intention, and 4 cases hy the second intention. The other 8 cases need the regional flap repair hecause the wound splited open and hecame ulcer. Femoral artery defects were reconstructed successfully and the pulse of dorsal arteries of foot could he felt except 1 case of bleeding of anastomotic rupture. Eighteen patients were followed up 1-30 months, and no pseudoaneurysm recurred. Color ultrasound Doppler detection showed that the external jugular veins took place of the femoral artery defects in 12 cases.
CONCLUSION: External jugular vein is stahle at anatomy and easy-to-ohtain. Its calihre is close to that of the femoral artery. It can he osed for reconstructing femoral artery defects as the vein material. The operation is easy and the clinical result is sure.
METHODS: From June 2002 to April 2Q06, 22 cases of femoral artery defects caused hy pseudoaneurysm resection, were reconstructed with external jugular vein graft hy microsurgical technique. There were 20 males and 2 females, aging 25-46 years (mean 31.2 years). The length of femoral artery defects was 5-9 cm, with an average of 6.8 cm. The location was left in 14 cases and right in 8 cases.
RESULTS: Ten cases achieved healing hy the first intention, and 4 cases hy the second intention. The other 8 cases need the regional flap repair hecause the wound splited open and hecame ulcer. Femoral artery defects were reconstructed successfully and the pulse of dorsal arteries of foot could he felt except 1 case of bleeding of anastomotic rupture. Eighteen patients were followed up 1-30 months, and no pseudoaneurysm recurred. Color ultrasound Doppler detection showed that the external jugular veins took place of the femoral artery defects in 12 cases.
CONCLUSION: External jugular vein is stahle at anatomy and easy-to-ohtain. Its calihre is close to that of the femoral artery. It can he osed for reconstructing femoral artery defects as the vein material. The operation is easy and the clinical result is sure.