SU1729493A1 - Method for treatment of arterial occlusive disease of the lower limbs - Google Patents
Method for treatment of arterial occlusive disease of the lower limbs Download PDFInfo
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- SU1729493A1 SU1729493A1 SU894688913A SU4688913A SU1729493A1 SU 1729493 A1 SU1729493 A1 SU 1729493A1 SU 894688913 A SU894688913 A SU 894688913A SU 4688913 A SU4688913 A SU 4688913A SU 1729493 A1 SU1729493 A1 SU 1729493A1
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- omentum
- artery
- revascularization
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- lower limbs
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Abstract
Изобретение относитс к медицине, а именно к хирургии, и может быть использовано дл лечени больных с окклюзионными заболевани ми артерий нижних конечно2 стей. Цель изобретени состоит в снижении послеоперационных осложнений за счет повышени надежности реваскул ризации. Указанна цель достигаетс тем, что рева- скул ризацию иигемизированной нижней конечности осуществл ют с помощью помещени сальника субфасциально на бедро, подколенную область и голень с одномоментной пластикой глубокой артерии бедра аутовенозной заплатой, в которую анасто- мозируют артерию сальника, при этом вену сальника на аутовенозной площадке вшивают в бедренную вену. Способ применен у 15 больных, во всех случа х получен хороший стабильный эффект реваскул ризации. Способ рекомендован дл внедрени в практическое здравоохранение.The invention relates to medicine, namely to surgery, and can be used to treat patients with occlusive arterial disease of the lower limbs. The purpose of the invention is to reduce postoperative complications by increasing the reliability of revascularization. This goal is achieved by revision of the igemized lower limb by placing the omentum subfascially on the thigh, popliteal region and tibia with a single-stage deep artery of the femur by an authovenous patch, in which the omentum artery is anastomotized, and site sewn into the femoral vein. The method was applied in 15 patients, in all cases a good stable effect of revascularization was obtained. The method is recommended for implementation in practical health care.
Description
СОWITH
сwith
Изобретение относитс к медицине, а именно к хирургии, и может быть использовано дл лечени больных с окклюзионными заболевани ми артерий нижних конечностей .The invention relates to medicine, namely to surgery, and can be used to treat patients with occlusive diseases of the arteries of the lower extremities.
Цель изобретени состоит в снижении послеоперационных осложнений путем повышени надежности реваскул ризации.The purpose of the invention is to reduce postoperative complications by increasing the reliability of revascularization.
Способ осуществл ют следующим образом . Резецируют большой сальник, выкраи- вают лоскут с сохранением сосудов, который укладывают субфасциально по внутренней поверхности бедра с переходом на подколенную область и заднюю поверхность голени. Производ т пластику глубокой артерии бедра аутовенозной заплатой, в которую анастомозируют артерию сальника , а вену сальника на аутовенозной площадке вшивают в бедреннуюThe method is carried out as follows. A large omentum is resected, a flap is cut out with preservation of vessels, which is placed subfascially on the inner surface of the thigh with a transition to the popliteal area and the posterior surface of the tibia. Plasticization of the deep artery of the femur is performed with an autovenous patch, into which the omentum artery is anastomized, and the omentum vein is sutured into the femoral area on the autovenous site.
вену.Клинический пример. Больной И., поступил с диагнозом: Облитерирующий атеросклероз артерий нижних конечностей, окклюзи бедренно-подколенного сегмента слева, ишеми 4-той стадии. По данным ангиографии - стеноз усть глубокой артерии бедра, окклюзи бедренной артерии, критический стеноз подколенной артерии, окклюзи артерий левой голени.vein. A clinical example. Patient I., was admitted with a diagnosis of obliterating atherosclerosis of the lower limb arteries, occlusion of the femoral-popliteal segment to the left, ischemia 4th stage. According to the angiography data, stenosis of the uterus of the deep femoral artery, occlusion of the femoral artery, critical stenosis of the popliteal artery, occlusion of the arteries of the left tibia.
Операци : лапаротоми , резецирован большой сальник. Выкроен лоскут с сохранением сосудов, соедин ющих концевые артерии сальника в их средней трети. Ушита лапаротомна рана. Сальник уложен субфасциально на бедро с переходом на подколенную область и заднюю поверхность голени. Выполнена эндартерэктоми из усть глубокой артерии бедра, произведена ее пластика аутовенозной заплатой, в которую анастомозирована артери сальника, а заXISurgery: laparotomy, resected large omentum. A flap is cut with preservation of the vessels connecting the end arteries of the omentum in their middle third. Laparotomy wound. The omentum is laid subfascially on the thigh with the transition to the popliteal region and the back of the leg. Endarterectomy was made from the mouth of the deep femoral artery, its plastic was made with an autovenous patch, in which the artery of the omentum was anastomosed, and XI
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юYu
соwith
плата с венозным анастомозом вшита в бок бедренной вены.plate with venous anastomosis is sewn into the side of the femoral vein.
После операции исчезли боли в покое, регрессировали трофические нарушени . По данным допплерографии - проходимость сосудов и анастомозов сохранена, мышечный кровоток вырос в 2-3 раза по данным радионуклидного исследовани . В сроки наблюдени больше 1,5 лет хороший эффект реваскул ризации сохранен.After the operation, pains at rest disappeared, trophic disorders regressed. According to the Doppler sonography, the patency of the vessels and anastomoses is preserved, the muscular blood flow has increased by a factor of 2-3 according to the data of the radionuclide study. During the observation period of more than 1.5 years, a good effect of revascularization is preserved.
Всего с применением предлагаемого способа оперировано 15 больных, во всех случа х получена стабильна реваскул ри- заци ишемизированного сегмента нижней конечности.Altogether, 15 patients were operated on using the proposed method, in all cases a stable revascularization of the ischemic segment of the lower limb was obtained.
Способ рекомендован дл внедрени в практическое здравоохранение.The method is recommended for implementation in practical health care.
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Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894688913A SU1729493A1 (en) | 1989-05-10 | 1989-05-10 | Method for treatment of arterial occlusive disease of the lower limbs |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894688913A SU1729493A1 (en) | 1989-05-10 | 1989-05-10 | Method for treatment of arterial occlusive disease of the lower limbs |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1729493A1 true SU1729493A1 (en) | 1992-04-30 |
Family
ID=21446451
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU894688913A SU1729493A1 (en) | 1989-05-10 | 1989-05-10 | Method for treatment of arterial occlusive disease of the lower limbs |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1729493A1 (en) |
-
1989
- 1989-05-10 SU SU894688913A patent/SU1729493A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Терещенко А.Г. Автореферат дисс.к.м.н. М., 1980, с. 35. * |
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