Pillet J, Poitevin J C, Albaret P
J Chir (Paris). 1975 Feb;109(2):153-62.
The authors report a consecutive series of 400 cases of atheromatous thrombosis of the femoral artery operated on between 1962 and 1972, which gave them an overall idea of the results of surgical treatment with a certain follow-up. This study confirms the importance of the state of the vascular bed beyond the obstruction in the maintenance of permeability after the operation. There are 50 p. 100 long-term failures when the thrombosis extends into the popliteal artery. On the other hand, lesions above the thrombosis, in the aortic or iliac arteries, have little influence on the final result, provided they are treated during the same operation. Lumbar sympathectomy alone gave very poor results but one should note that, in this series, it was reserved for the cases with the poorest prognosis, when any other operation was impossible or contra-indicated. In extreme cases, revascularisation alone of the profunda femoris permitted us in almost all cases to save the limb, leaving intact the symptoms of obstruction of the superficial femoral artery, in particular, intermittent claudication.
作者报告了1962年至1972年间连续收治的400例股动脉粥样硬化血栓形成病例，通过一定的随访，他们对手术治疗结果有了总体认识。这项研究证实了阻塞部位远端血管床状况对术后维持血管通畅的重要性。当血栓延伸至腘动脉时，长期失败率为50%。另一方面，血栓上方主动脉或髂动脉的病变对最终结果影响很小，前提是在同一手术中对其进行治疗。单独的腰交感神经切除术效果很差，但应该指出的是，在本系列中，该手术仅用于预后最差、无法进行或禁忌进行其他任何手术的病例。在极端情况下，仅对股深动脉进行血管重建几乎在所有病例中都能使我们保住肢体，而股浅动脉阻塞的症状，特别是间歇性跛行，依然存在。
