【摘要】 在对大隐静脉、胫后静脉瓣膜进行解剖学和生物力学研究的基础上,设计静脉瓣切除或破坏后原位一期静脉动脉化两种新术式,治疗动脉广泛闭塞所致严重下肢缺血患者71例(74条肢体),术后随访1～8年(其中随访5年以上32例),静息痛消失率96.5％,间隙性跛行消失率93.7％,截肢率降至2.7％,获得满意效果。本文报告了两种新术式的远期疗效,并就两种术式的评价、指征、术式选择等相关问题进行讨论。更多还原

【Abstract】 Objective:To report the follow - up result of 2 new operations and to discuss their indications and assessment. Method: After anatomical and biomechanic study of the valvular distribution and function of the great saphenous and posterior tibial veins, we performed veno - valvulectomy or venous valve destruction and primary in situ veno - arteriolizaion for 74 severely ischemic limbs of 71 patients with extensive arterial occlusion of lower limbs. After operations, 71 patients (74 lower limbs) were followed up for 1 to 8 years. Results: The results were excelent. Rest pain and intermittent clau-dicaton disapeared in 96. 5% and 93. 7% of the limbs respectively. Amputation rate was lowered to 2. 7%. Conclusion: The 2 niw operations, properly chosen, are effective and safe for the treatment of ex-tenxive arterial occlusion in lower limbs.更多还原