摘要
目的探讨足背动脉高位结扎治疗足部先天性动静脉瘘的可行性及安全性。方法回顾性分析中国人民解放军第163医院普通外科从2010年1月至2016年1月收治的18例先天性足部动静脉瘘患者的临床资料,按足背动脉结扎部位的高低分为高位结扎组10例和低位结扎组8例,高位结扎组于内踝外踝连线平面以上结扎足背动脉及分支,低位结扎组于内踝外踝连线平面以下结扎足背动脉。结果高位结扎组无复发病例,低位结扎组有4例(50%)复发患者。两组复发率有明显差异(P<0.05)。结论足背动脉高位结扎是治疗先天性足背动静脉瘘安全、可行的方法。
Objective To explore the feasibility and safety of the treatment of congenital foot dorsum arteriovenous fistula with high dorsalis pedis artery ligation. Metonds It was retrospectively analyzed with the 18 cases ’ clinical data of the congenital foot dorsum fistula underwent dorsalis pedis artery ligation from January 2010 to July 2016 in the Department of General Surgery of the 163 th Hospital of Chinese PLA. According to the place of the dorsalis pedis artery ligation,the cases were divided into high ligation group and low ligation group. The dorsalis pedis artery and its branches were ligatured above the medial malleolus plane in 10 cases of high ligation group. And the dorsalis pedis artery and its branches were ligatured below the medial malleolus plane in 8 cases of low ligation group. Results There was no recurrence cases in the high ligation group,but the recurrence rate was 50 %（ 4 /8） the in low ligation group. There was a significant difference of the recurrence rate between the two groups（ P 〈 0. 05）. And the high dorsalis pedis artery ligation showed lower recurrence rate according to the short term observation.Conclusion High dorsalis pedis artery ligation is a safe and feasible method for the treatment of foot dorsum arteriovenous fistula.
作者
许玉春
李介秋
邓国敏
赵泽华
XU Yu-chun LI Jie-qiu DENG Guo-min ZHAO Ze-hua(Department of General Surgery, the 163th Hospital of Chinese PLA, Changsha 410003, Hunan, China)
出处
《中国现代手术学杂志》
2016年第5期358-360,共3页
Chinese Journal of Modern Operative Surgery
关键词
动静脉畸形
手术
足背动脉
结扎
arteriovenous malformations
surgery
dorsalis pedis artery
ligation
