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[主-股动脉段非特异性主动脉动脉炎的外科治疗]

[Surgical treatment of non-specific aortoarteritis of the aorto-femoral segment].

作者信息

Karimov E A, Sharapov N U, Khamidov B P, Sidikov T Ia

出版信息

Klin Khir (1962). 1992(11):47-50.

PMID:1296069
Abstract

For 15 years, the authors observed 158 patients with non-specific aortoarteritis. Of them in 37 (23.4%), isolated lesion of the terminal aorta, iliac and femoral arteries was revealed; in 81.1%--severe degree of ischemia of the lower extremities, 39.4% of men had impotency. Associated lesions of the aorta and arteries of the lower extremities was revealed in patients with acute inflammatory process. The extent of vascular occlusion depended on its presence. Surgical treatment was performed in 35 patients; in 30, the reconstructive operations were performed, in 3--lumbar sympathectomy, in 2--amputation of an extremity. At the early postoperative period, a good result has been noted in 82.9%, 5.7% of patients died. Twenty six patients were followed up for 5 years, 60.1% of them have shown a good result.

摘要

15年间,作者观察了158例非特异性主动脉动脉炎患者。其中37例(23.4%)显示为主动脉末端、髂动脉和股动脉孤立性病变;81.1%的患者下肢缺血程度严重,39.4%的男性有性功能障碍。急性炎症过程的患者中发现了主动脉和下肢动脉的相关病变。血管闭塞的程度取决于其存在情况。35例患者接受了手术治疗;30例进行了重建手术,3例进行了腰交感神经切除术,2例进行了截肢手术。术后早期,82.9%的患者效果良好,5.7%的患者死亡。26例患者接受了5年随访,其中60.1%效果良好。

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