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血管镜在原位大隐静脉移植术中的应用

Application of Angioscopy in Great Saphenous Venograft in Situ

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【作者】 王长智JohnTeomas Mehigan

【Author】 JohnTeomas Mehigan Wang Changzhi The Second Hospital of Tianjin Medical College

【机构】 天津医学院第二附属医院心血管研究室美国斯坦福大学医疗中心血管外科

【摘要】 本文收集了87例血管镜在原位大隐静脉动脉旁路移植术中的临床应用,就其设备及操作方法做了较详细的介绍,直视下精确地进行大隐静脉瓣膜切开和侧枝结扎术,保持大隐静脉的原位特征,避免下肢长切口,免除提取整条大隐静脉造成的过大损伤,缩短了手术时间,减少了各种并发症。这一有价值的技术,操作简单易行,效果十分肯定,值得推广采用。

【Abstract】 Eighty seven cases had been collected for the angioscopic application in the trans-plantation of in-situ saphenous vein arterial bypass, and the allied equipments andoperating procedures were fully introduced. Angioscopy helps greatly to perform accu-rarely saphenous valvulotomy and ligation of side branches under direct vision. Thus,the in-situ characteristics of the saphenous vein is well preserved, lengthy inci-sion in lower limbs is avioded, heavy domage that might occur in picking out thewhole length of the saphenous vein can be prevented. The operation period is shor-tened and various complications are minimized as well. This valuable procedure isreally worthy to be popularized and adopted for its simple technique and reliableeffect.

  • 【文献出处】 天津医药 ,Tianjin Medical Journal , 编辑部邮箱 ,1990年10期
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