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中华移植杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 218 -225. doi: 10.3877/cma.j.issn.1674-3903.2025.04.002

标准与指南

同种异体血管移植在腹部外科中的应用指南
中国医疗保健国际交流促进会肝脏移植学分会, 中国医师协会器官移植医师分会, 中国研究型医院学会普通外科学专业委员会   
  1. 1. 首都医科大学附属北京朝阳医院,100020 北京
    2. 杭州医学院 浙江大学转化医学研究院,310000 杭州
    3. 空军军医大学第一附属医院,710032 西安
  • 收稿日期:2025-04-07 出版日期:2025-08-25
  • 基金资助:
    首都临床诊疗技术研究及示范应用(Z211100002921025); 首都卫生发展科研专项项目(首发2020-2-2036)

Guidelines on application of allogeneic vascular transplantation in abdominal surgery

Society of Liver Transplantation, China International Exchange and Promotive Association for Medical and Health Care, Branch of Organ Transplant Physicians, Chinese Medical Doctor Association, General Surgery Professional Committee, Chinese Research Hospital Association   

  1. 1. Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
    2. Hangzhou Medical College, Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou 310000, China
    3. the First Affiliated Hospital of Air Force Military Medical University, Xi′an 710032, China
  • Received:2025-04-07 Published:2025-08-25
引用本文:

中国医疗保健国际交流促进会肝脏移植学分会, 中国医师协会器官移植医师分会, 中国研究型医院学会普通外科学专业委员会. 同种异体血管移植在腹部外科中的应用指南[J/OL]. 中华移植杂志(电子版), 2025, 19(04): 218-225.

Society of Liver Transplantation, China International Exchange and Promotive Association for Medical and Health Care, Branch of Organ Transplant Physicians, Chinese Medical Doctor Association, General Surgery Professional Committee, Chinese Research Hospital Association. Guidelines on application of allogeneic vascular transplantation in abdominal surgery[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2025, 19(04): 218-225.

随着腹部外科技术的进步和肿瘤综合治疗的发展,联合血管切除的腹部外科手术越来越普及,异体血管作为血管切除重建的替代材料之一,在形态和组织相容性方面具有其独特优势。然而,目前临床上对于异体血管的来源、保存、重建方式与技术及重建术后的管理尚缺乏统一的应用标准。为此,中国医疗保健国际交流促进会肝脏移植学分会等组织国内相关专家参与充分讨论,共同制订本指南。主要针对同种异体血管的来源、保存、临床应用和术后管理问题,依据现有证据给出10条推荐意见,旨在通过循证医学证据指导临床实践,为异体血管移植在腹部外科中的应用提供指导性建议。

With the progress of abdominal surgery technology and the development of comprehensive tumor treatment, abdominal surgery combined with vascular resection became more and more popular. As one of the alternative materials for vascular resection and reconstruction, allogeneic blood vessels had their unique advantages in morphology and histocompatibility. However, there was still a lack of unified application standards for the source, preservation, reconstruction methods and techniques of allogeneic blood vessels and the management after reconstruction. To this end, academic chapters such as the Society of Liver Transplantation, China International Exchange and Promotive Association for Medical and Health Care organized relevant domestic experts to participate in the discussion and formulation of this guidelines. The guideline mainly aimed at the source, preservation, clinical application and postoperative management of allogeneic vascular, and gave 10 recommendations based on existing evidence, aiming to guide clinical practice through evidence-based, and provide guiding suggestions for the application of allogeneic vascular transplantation in abdominal surgery.

表1 牛津大学循证医学中心证据分级
表2 GRADE推荐强度的描述
表3 异体血管重建后远期管腔狭窄严重程度及治疗策略
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