Objective To investigate the effect of one stage arterialization of posterior tibial vein in treatment of peripheral arterial extensive occlusive disease. Methods Forty-six cases (56 limbs) of patients with peripheral arterial extensive occlusive disease were treated with one stage arterialization of posterior tibial vein. Results The symptom of pain disappeared right after one stage arterialization of posterior tibial vein in all patients . Skin temperature went up. The long-term results were satisfactory during the period of 3 months to 7 years follow-up, except two limbs were amputated and two limbs were reoperated with pedicle omental transplantation. Conclusion The technique of one stage arterialization of posterior tibial vein has advantages of one-stage procedure, various indications, little influence to venous return and rapid relief of ischemic symptoms.
目的 探讨嵌顿性食管旁疝的诊断和外科治疗。方法 对我院手术治疗的4例嵌顿性食管旁疝患者的临床资料进行分析。结果 2例急诊剖腹探查确诊，2例经胸部X线平片和CT检查确诊； 4例均行经腹Hill胃背侧固定术，术后均无并发症，无疝复发。结论 胸部X线平片及CT检查是诊断本病的主要手段； 一旦获得诊断或高度怀疑，应及早手术治疗； 经腹Hill胃背侧固定术式简单、可靠、复发率低，适合基层医院医生掌握。