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題 名 | 動脈內壁血栓截除術在髂動脈粥狀硬化血栓形成症上之應用=Thromboendarterectomy for Atherosclerotic Thrombosis of Iliac Arthry |
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作 者 | 俞紹基; 曾常奇; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 2:1 民58.03 |
頁 次 | 頁58-62 |
關鍵詞 | |
語 文 | 中文(Chinese) |
中文摘要 | 動脈粥樣硬化症最易侵犯大動脉之起始或分枝處,產生局部阻塞性病灶。腹主動脉下端與髂總動脈,亦為好發部位之一,且其病灶常局限於髂總動脈與腹主動脈分叉處。詳盡的病史,仔細的體撿,為達到準確診斷之必要步驟。手術前動脈攝影常可顯示阻塞性病灶之部位,範團及其性質,且可瞭解阻塞部達側動脈是否通暢,對手術之決定與選擇殊為重要。 對於阻塞性動脈疾病之手術治療,不外乎動脈內壁截除術(Endarterectomy),切除血管移植替換術(Excision with graft replacement),血管移植導流術及片移植血管內腔擴大術(patch graft angioplasty)等。此顯手術,可單獨或組合運用,以達到改善局部循環之目的。如病灶局限於動脈內壁,且為局段性,可用動脈內壁截除術來治療,此法係利用患者自身組織,施行動脈再造術(arterial reconstruction),故改善局部循環,無需外來物體(如人造血管)。本文對髂總動脈阻塞性疾病之外科治療,作一扼要之討論,並附一病例報告。 |
英文摘要 | Atherosclerosis has a predilection for involving and blocking the origin or bifurcation of major arteries. The aortoiliac arteries are one of the common locations involved. Aorto-iliac lesions with complete occlusion tend to be well localized to the terminal abdominal aorta and its bifurcation and common iliac arteries. Since the predominant underlyging pathologic lesion in aorto-iliac occlusive disease is atherosclerosis, which often also involves the blood vessels of the brain, heart and kidneys, therefote a detailed history and thorough preoperative investigation including arteriorgraphy are essential on making the correct diagnosis and in selecting the patient for operation. Ehdarterectomy (or thromboendarterectomy), bypass graft excision with graft replacement, and patch graft angioplasty (or a combinations of these procedures) have been developed for the treatment of occlusive arterial diseases. The application of each of these procedures, and in some instances their combined use, is dependent upon a number of factors, including particularly the nature, extent, and site of involvement of the occlusive lesions. Endarterectomy or thromboendarterectomy is employed when the occlusive process is confined to intima of the distal aorta and iliac arteries. A case of atherosclerotic thrombosis of the right common iliac artery treated with thromboendarterectomy is reported. |
本系統中英文摘要資訊取自各篇刊載內容。