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联合手术治疗下肢动脉缺血性病变的实验研究

Revascularization of lower extremities by staged arteriovenous reversal with lumbar sympathectomy

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【作者】 王相如林勇杰詹世光

【Author】 Wang Xiangru; Lin Yongjie; Zhan Shiguang(Shandong Provincial Corps Hospital, Chinese People’sArmed Police Forces. Jinan 250101)

【机构】 武警山东总队医院外科中山医科大学附属第一医院血管外科

【摘要】 目的:探索一种治疗下肢动脉缺血性病变更有效的手术方法。方法:取健康杂种犬5只,行分期股动静脉转流术,第2期手术后2w加行腰交感神经节切除术,用彩色多普勒检测加行腰交感神经节切除术后吻合口近端股动、静脉血液动力学变化。结果:加行腰交感神经节切除术后,吻合口近端股动、静脉血流量分别增加60%和48.1%。结论:联合手术可以起协同作用,使缺血肢体获得更多动脉血,静脉血回流量亦相应增加,是治疗下肢缺血性病变更有效的一种手术方法。

【Abstract】 Objective: To explore a more effective surgical method to treat occlusive disease in peripheral artery. Methods: Five conditioned mongrel dogs (ten hindlimbs) underwent staged arte- riovenous reversal. Two weeks after the seeond stage operation, lumbar sympathectomy was per-formed. The hemodynamic changes of femoral artery and vein proximal to the arteriovenous anas-tomosis were investigated with color doppler flow imaging before and after sympathectomy. Re-sults: After sympathectomy, flow through the femoral artery was increased by 60%, flow through the femoral vein was increased by 48. 1 %. Conclusion: Staged arteriovenous reversal with ipsilater-al lumbar sympathectomy would be a good combination. It can supply more nutrient flow to an ischemic lower extremity. The venous blood flow returning to the heart would increase correspondingly.

  • 【文献出处】 武警医学院学报 ,Acta Academiae Medicinae Cpapf , 编辑部邮箱 ,1999年03期
  • 【分类号】R654.3
  • 【被引频次】1
  • 【下载频次】16
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