摘要
目的探讨创伤性动静脉瘘 (arteriovenousfistula ,AVF)的手术方法。方法回顾性分析了 1989年 1月至 2 0 0 1年 8月经手术治疗的创伤性AVF 2 0例 ,共 2 3个动静脉瘘。分别采用四头结扎术 2例 ;经静脉切开修补瘘口 3例 ;经动脉切开修补瘘口、重建动脉血流 8例 ;瘘切断、动静脉壁瘘口侧面修补术 1例 ;经瘤腔同时修补动静脉瘘口 1例 ;经瘤腔修补静脉瘘口、动脉结扎或大隐静脉移植 2例 ;瘘管结扎术 3例。结果死亡 1例 ,随访 16例 ,2例复发 ,2例肢端慢性溃疡者效果欠佳 ,余效果良好。结论创伤性AVF应早期手术 ,根据分型采用不同手术方法 。
ObjectiveTo evaluate a variety of surgical therapies of post-traumatic arterio-venous fistulas(AVF).Methods Twenty patients with traumatic AVF were admitted from January 1989 to August 2001 with 23 AVFs . Quadrate ligation was performed in 2 cases, transvenous fistula suture in 3 cases, transartery defect suture plus restoration of the arterial blood flow in 8 cases, division of the fistula plus A.V defect lateral repair in 1 case, transaneurysm A.V defect repair in 1 case, transaneurysm venous defect repair and ligation of the artery or saphenous vein graft interposition in 2 cases, and simple fistula ligation in 3 cases.ResultsIn this series one patient died, 16 patients were followed-up, most patients were doing well except for two with chronic ulcer in extremities and 2 suffering from recurrent fistula.ConclusionTraumatic AVF patients should undergo surgical treatmant as early as possible. The modality of surgical therapy should be individualized.
出处
《中华普通外科杂志》
CSCD
北大核心
2002年第11期652-653,共2页
Chinese Journal of General Surgery
