人工血管感染处理策略

    Management of prosthetic vascular graft infection

    • 摘要: 目的:总结人工血管感染的处理策略及治疗经验。方法:8例均行人工血管切除及清创术,2例另行解剖外旁路自体大隐静脉移植术,1例行异位人工血管移植。结果:3例人工血管切除后行膝上截肢术,1例3个月后改行经胸Budd-Chiari综合征下腔静脉病变根治术,其余病例感染消失,创口愈合。本组无死亡病例。结论:人工血管感染采取不同的治疗措施,可以取得较为满意的临床效果。

       

      Abstract: Objective: To summary the experience in handling vascular graft infection.Methods: Eight cases of vascular graft infection were all treated by removing the grafts and debridement.Two of them were received autogenous great saphenous vein graft in the extra-anatomic bypass,and one of them was performed allotopia graft replacement.Results: Three cases had amputation above the knee after removing the grafts and one case undertook Budd-Chiari syndrome radical correction operation.The infection in other cases was controlled and the wound healed.No patients died.Conclusions: Application of variant therapeutic measures to graft infection may acquire satisfactory clinical effect.

       

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