Helmig L, Tuinebreijer W E, Alemany J, Heber R
Thoraxchir Vask Chir. 1976 Aug;24(4):318-24. doi: 10.1055/s-0028-1095936.
42 vascular reconstructive procedures, concerning occlusions in full length of the trifurcation of the lower limb, were carried out in 40 patients. The success-rate was unsatisfactory. It was as low as 55% after 30 days and 25% after 28 months. This is thought to be due to wrong indication and unfavorable operative proceedings. The high hospital letality of 12%, observed in aged persons only, may be reduced by improving post-operative care. It is stressed that any bad result of this kind of vascular surgery is connected with a high vital danger to the patient in question. Avoiding pre- and intraoperative unfavorable factors is rewarded by better early result; thus it is not the method itself but its wrong application which is bad.
40例患者接受了42例涉及下肢三叉分支全程闭塞的血管重建手术。成功率不尽人意。术后30天成功率低至55%，术后28个月则为25%。这被认为是由于适应证错误和手术操作不利所致。仅在老年患者中观察到的12%的高住院死亡率，可通过改善术后护理来降低。需要强调的是，这类血管手术的任何不良结果都与相关患者的高生命危险相关。避免术前和术中的不利因素会带来更好的早期效果；因此，不好的并非方法本身，而是其错误应用。
