Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2005
[Application of crotch-shaped vein grafts in repairing defects of the vessels with a large diameter].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Deng Hongping, Ling Yiqi, Wang Zhiyu
Аннотация
OBJECTIVE: To investigate the results and application value of crotch-shaped vein grafts in repairing.
METHODS: From June 1998 to October 2003, 35 cases of vessel defects with defects of the vessels with a large diameter were repaired with crotch-shaped vein graft (29 males and 6 females, aged 18 to 45 years with an average of 25.7 years). The locations of defects were femoral artery in 25 cases, popliteal artery in 2 cases, femoral vein in 7 cases, and subclavian vein in 1 case. The interval between injury and operation was 1-8.5 hours (4.1 hours on average). The blood flows of trouble and healthy vascular were determined with Doppler detector and compared preoperatively and postoperatively.
RESULTS: All the anastomotic stomas were patent in 35 cases. Thirty-one cases were followed up 6 weeks to 24 months (9.5 months on average), the patent rate was 100%, no case occurred vasospasm or thromboembolism; 2 cases occurred stomal leak and became hematoma, 3 cases occurred muscular necrosis, and the 5 cases achieved primary healing after secondary operation. The Doppler results showed that there was statistically significant difference in the blood flow between postoperation and pre-operation (P < 0.01), but no statistically significant difference when compared the trouble vascular after operation with healthy vascular (P > 0.05).
CONCLUSION: The method of crotch-shaped vein grafts is safe and effective in repairing defects of vessels with a large diameter, which is easy to draw materials and handy to operate. It has a promising value in clinical application.
METHODS: From June 1998 to October 2003, 35 cases of vessel defects with defects of the vessels with a large diameter were repaired with crotch-shaped vein graft (29 males and 6 females, aged 18 to 45 years with an average of 25.7 years). The locations of defects were femoral artery in 25 cases, popliteal artery in 2 cases, femoral vein in 7 cases, and subclavian vein in 1 case. The interval between injury and operation was 1-8.5 hours (4.1 hours on average). The blood flows of trouble and healthy vascular were determined with Doppler detector and compared preoperatively and postoperatively.
RESULTS: All the anastomotic stomas were patent in 35 cases. Thirty-one cases were followed up 6 weeks to 24 months (9.5 months on average), the patent rate was 100%, no case occurred vasospasm or thromboembolism; 2 cases occurred stomal leak and became hematoma, 3 cases occurred muscular necrosis, and the 5 cases achieved primary healing after secondary operation. The Doppler results showed that there was statistically significant difference in the blood flow between postoperation and pre-operation (P < 0.01), but no statistically significant difference when compared the trouble vascular after operation with healthy vascular (P > 0.05).
CONCLUSION: The method of crotch-shaped vein grafts is safe and effective in repairing defects of vessels with a large diameter, which is easy to draw materials and handy to operate. It has a promising value in clinical application.