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[血管再通性骨钻孔术治疗下肢动脉慢性闭塞症]

[Revascularized osteo-trepanation in the treatment of chronic occlusion of the lower extremities arteries].

作者信息

Ziubryts'kyĭ M M, Arseniuk V V

出版信息

Klin Khir. 2002 Oct(10):31-2.

PMID:12448092
Abstract

The results of operation of revascularized osteotrepanation (ROT) in complex of treatment of 43 patients with chronic occlusion of the lower extremities arteries were analyzed. Stable clinical effect after application of ROT in patients with the ischemia II stage persisted during 40 months, III stage--25 months, "high" amputation of lower extremity in patients with IV stage ischemia was performed in 3.5-7 months. ROT is operation of choice in patients with distal form of ischemia of lower extremity, as well as while presence of contraindications for performance of reconstructive operation on main arteries.

摘要

分析了43例下肢动脉慢性闭塞患者在接受血管再通骨钻孔术(ROT)治疗过程中的手术结果。ROT应用于II期缺血患者后,稳定的临床效果持续了40个月;应用于III期缺血患者后,稳定临床效果持续了25个月;对于IV期缺血患者,在3.5 - 7个月内进行了下肢“高位”截肢手术。ROT是下肢远端缺血形式患者以及存在主动脉重建手术禁忌证患者的首选手术。

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