Shionoya S, Ban I, Nakata Y, Matsubara J, Hirai M
Br J Surg. 1976 Nov;63(11):841-6. doi: 10.1002/bjs.1800631102.
In 23 of 148 patients with Buerger's disease, it was possible to undertake 27 arterial reconstructive procedures: bypass in 22 and thrombo-endarterectomy in 5. In a follow-up of 10 months to 8 years, the overall patency rate was 26 per cent. The long term patency rate of bypass grafting was good in obstruction of main vessels, but unsatisfactory with multiple occlusions. Bypass grafting was preferred to thromboendarterectomy. To obtain long term patency of revascularaized segments, complete abstinence from tobacco is absolutely essential. The preparatory manoeuvres for antogenous venous graft should be as atraumatic as possible. A functional diagnosis is indispensable when considering operative indications and for follow-up study of patients with peripheral arterial occlusive disease.
在148例血栓闭塞性脉管炎患者中，有23例可行27次动脉重建手术：22例为搭桥术，5例为血栓内膜切除术。随访时间为10个月至8年，总体通畅率为26%。对于主血管阻塞，搭桥术的长期通畅率良好，但对于多处闭塞则不尽人意。搭桥术比血栓内膜切除术更受青睐。为使血管重建段获得长期通畅，绝对必须完全戒烟。自体静脉移植的准备操作应尽可能避免创伤。在考虑手术指征以及对外周动脉闭塞性疾病患者进行随访研究时，功能诊断必不可少。
