中国医学科学院学报2012，Vol.34Issue(6)：609-612,4.DOI:10.3881/j.issn.1000-503X.2012.06.014
肢体人工血管移植物外露的外科治疗
Surgical Management of Limb Prosthetic Vascular Graft Exposure
吴昊 1吴巍巍 1白明 2曾嵘 1宋小军 1陈宇 1刘昌伟1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院 血管外科,北京100032
- 2. 中国医学科学院 北京协和医学院 北京协和医院 整形外科,北京100032
- 折叠
摘要
Abstract
Objective To investigate the risk factors and surgical management of limb prosthetic vascular graft exposure. Methods The clinical data of 17 patients suffering from limb prosthetic vascular graft exposure in Peking Union Medical College Hospital from August 2006 to December 2011 were retrospectively analyzed. Among 17 cases, 5 suffered from prosthetic vascular graft exposure after vascular bypass for the lower limb ischemia, whereas 12 were affected after the artificial graft arteriovenous fistula construction in the upper limbs for hemodialysis. The surgical procedures mainly included the local debridement as well as the local flap and transferred muscle-cutaneous flap reconstruction to preserve the prosthetic vascular graft. Results All 17 patients underwent local flap or muscle-cutaneous flap coverage procedure. After the surgery, the prosthetic vascular graft was successfully salvaged in 14 cases. The total successful rate was 82. 4%. The surgery failed in three patients, in whom the prosthetic vascular grafts were finally removed. Conclusion Local flap and transferred muscle-cutaneous flap reconstruction is an effective surgical management to salvage the exposed
grafts.关键词
人工血管移植术/血管移植物外露/任意皮瓣/肌皮瓣Key words
vessel prostheses transplantation/ prosthetic graft exposure/ local flap/ muscle cutaneous flap分类
医药卫生引用本文复制引用
吴昊,吴巍巍,白明,曾嵘,宋小军,陈宇,刘昌伟..肢体人工血管移植物外露的外科治疗[J].中国医学科学院学报,2012,34(6):609-612,4.
