Royster T S, Lynn R, Mulcare R J
Surg Gynecol Obstet. 1976 Dec;143(6):949-52.
In a series of 140 patients operated upon for aortoiliac occlusive disease over 11 1/2 years, 81 had concomitant occlusion of the superficial femoral artery. These 81 patients with combined segment disease were studied with particular emphasis on the relief of presenting symptoms by an aortic bypass procedure alone. Fifty-three patients underwent only aortic bypass and could be fully evaluated postoperatively. Ninety-six per cent presenting with rest pain or ischemic changes obtained complete relief of these sympotms. All 53 patients presented with claudication, and 88.7 per cent either had complete relief or improved to the point that no further theapy was needed. The results of this study confirm the efficacy of restoration of proximal flow to the profunda femoris arteries as the primary therapeutic goal in patients with combined segment disease.
在11年半的时间里，对140例接受主髂动脉闭塞性疾病手术的患者进行了一系列研究，其中81例同时存在股浅动脉闭塞。对这81例合并节段性疾病的患者进行了研究，特别强调仅通过主动脉搭桥手术缓解现有症状。53例患者仅接受了主动脉搭桥手术，术后可进行全面评估。出现静息痛或缺血性改变的患者中，96%的这些症状得到了完全缓解。所有53例患者均表现为间歇性跛行，88.7%的患者要么完全缓解，要么改善到无需进一步治疗的程度。这项研究的结果证实，将股深动脉近端血流恢复作为合并节段性疾病患者的主要治疗目标是有效的。
