【摘要】 目的 寻找适宜和较大口径的自体移植血管。 方法 在动物试验中，将犬的小隐或颈外静脉制作成单根和两端均为裤式单开口的双血管桥，分别移植于髂-股动、静脉间和作为动、静脉转流的桥式血管，进行血流量的检测。临床上取双侧颈外静脉并制作成两端均为裤式单开口的双血管桥进行髂-股和锁骨下静脉等修复;制作相应血管桥进行动、静脉转流。 结果 由移植血管-其口径与所修复血管口径之比在(0.7～0.75)∶1之间，所制作成的两端均为裤式开口的双血管桥，其血流量与所修复血管的原血流量差异不大。 结论 移植血管与所需修复的血管在具备一定管径比例(0.7～0.75∶1以上)基础上制作的两端均为裤式开口自体双血管桥的应用，解决了自体移植血管管径细及人造血管移植易发生血栓形成等问题。

    关键词 血管 损伤 移植 重建

    Test study and clinical application on trousers-style auto-double vascular transplantation

    Qu Ming，Zhang Weiguo，Du Yingdong，et al.

    Center of Vascular Surgery，Central107th Hospital of PLA，Yantai264002.

    【Abstract】 Objective To seek the suitable and bigger caliber auto-transplantation blood vessels.Methods In animals test，we made canine small saphenous or external jugular vein into double vascular bridge，which single and both ends were all trousers-style with one opening and transplanted between iliofemoral artery and vein separately and took as bridge-style blood vessels of artery and vein shunt ......