Lye C R, Sumner D S, Strandness D E
Ann Surg. 1976 Jan;183(1):38-41. doi: 10.1097/00000658-197601000-00008.
Twenty-one patients were followed for an average of 40 months following occlusion of femoropopliteal vein grafts. Serial recordings of the resting ankle pressure index and treadmill walking time were correlated with the patient's clinical status, and compared to the preoperative values. Graft failure resulted in a return to preoperative status in ten of 11 limb salvage patients. There were 5 amputations, 3 died of unrelated causes, and 2 were subsequently improved by further reconstructions. At last followup, 3 of 10 patients who were operated on for claudication were unchanged, 6 were improved, and one became worse. In no case did graft failure result in the development of advanced ischemia. Femoropopliteal graft failure did not have a significantly adverse effect on limb function or survival in patients presenting with claudication, nor did it complicate the subsequent course of patients in whom the initial aim was limb salvage.
21例患者在股腘静脉移植血管闭塞后平均随访40个月。对静息踝压指数和跑步机行走时间进行系列记录，并与患者的临床状况相关联，同时与术前值进行比较。在11例肢体挽救患者中，有10例移植血管失败导致恢复到术前状态。有5例行截肢手术，3例死于无关原因，2例随后通过进一步重建得到改善。在最后一次随访时，10例因间歇性跛行接受手术的患者中，3例病情无变化，6例病情改善，1例病情恶化。移植血管失败在任何情况下均未导致严重缺血的发生。股腘移植血管失败对表现为间歇性跛行的患者的肢体功能或生存没有显著的不利影响，也未使最初目标为肢体挽救的患者的后续病程复杂化。
