复合静脉动脉化治疗血栓闭塞性脉管炎疗效观察

１９９０年～１９９５年５年间，作者在动物实验的基础上，采用股两个平面复合静脉动脉化手术治疗动脉以下三分支血栓闭塞性脉管炎（ＴＡＯ）１５例，经临床观察、随访，证实近期症状改善迅速、确切，远期供血持久，避免了引起肢体肿胀与心功能不全的并发症。作者认为复合静脉动脉化手术具有良好的解剖生理基础，提出静脉动脉化时，动脉应选用无病变波及的主干，静脉不应选用与其伴行的深静脉，而应选用远离病变动脉的中小静脉的原则。

CLINICAL OBSERVATION OF COMPOSITE VEIN ARTERIFICATION IN THE TREATMENT OF THROMBOANGIITIS OBLITERANS

patients suffering thromboangiitis obliterans with the occlusion of three branches below popliteal artery were treated by the operation of vein arterification compounded femoral and popliteal planes at this hospital from 1990 to 1995. It is proved by clinical observation and correspondence with 15 patients that the symptoms ammeliated quickly and surely at the near future and forward blood supply lasted so as to avoid the complications of limb edema and heart failure. So the authors consider that the composite vein arterification has a good anatomical and physical basis and suits to sufferers with the occlusion below popliteal vessels caused by different reasons, the principle of vein arterification is to select the trunk artery of no pathological changes and not the collateral deep vein, but should select small median superficial vein far away from pathological artery.