前言目的：评估不同术式对先天性肢体动静脉瘘的疗效。方法：对７６例先天性肢体支动静脉瘘病人分别采用下列４种手术方法：①瘘管结扎和病变切除；②瘘管结扎、病变切除和血流重建；③分期分段瘘管结扎；④介入栓塞术。结果：除８例失访外，其余６８例平均随访６。８年。疗效良好者３４例，占４４。７％；好转２１例，占２７。６％。总有效率达７２。３％。结论：术前选择性动脉造影可对诊断和手术方案制订提供可靠依据，瘘管结扎和病变切除是手术成功的关键，非主干营养动脉病变可考虑介入栓塞治疗。
Objective:Toevaluatetheeffectsofsurgicaltreatmentoncongenitalarteriovenousfistula（e）intheextremities.Methods:FromJune1982toJune2000,76patientswithcongenitalarteriovenousfis-tula（e）oftheextremitiesweretreatedsurgically.Operativeproceduresincludedligationofthearterio-venousfistula（e）,excisionofthearteriovenousmalformation,vascularreconstructionbyautogenousveingraftandtranscatheterembolization.Results:Excellentandgoodresultsofoperationwereobtained...
