Porzycki P, Andziak P, Noszczyk W
I Katedry i Kliniki Chirurgii II Wydziału Lekarskiego AM, Warszawie.
Pol Tyg Lek. 1992;47(18-19):389-91.
Early and delayed results of the treatment of aortoiliac unilateral incompetence in 144 patients were compared. Eighty seven (60%) patients were treated with aortoiliac prosthesis whereas 57 (40%) with arterial patency restoration. Fifty seven patients of group I reported to the control examination. Favourable effect was found in 47 (82.5%) patients, i.e. in 54% of all operated patients. Thirty six patients of group II reported to the control examination. Favourable effect was noted in 27 (75%) patients, i.e. in 47.4% of all treated patients. Twenty two (25.3%) of patients of group I and 9 (15.8%) of group II died. It was noted also that in 20% of operated patients with unilateral aortoiliac incompetence the disorders in the opposite limb develop despite the type of surgery. Therefore, indications to the implantation of bifurcated prostheses should be extended in some cases.
比较了144例主髂动脉单侧功能不全患者的早期和延迟治疗结果。87例（60%）患者接受了主髂动脉假体治疗，而57例（40%）患者接受了动脉通畅恢复治疗。第一组的57例患者接受了对照检查。47例（82.5%）患者效果良好，即占所有手术患者的54%。第二组的36例患者接受了对照检查。27例（75%）患者效果良好，即占所有治疗患者的47.4%。第一组22例（25.3%）患者和第二组9例（15.8%）患者死亡。还注意到，在20%的单侧主髂动脉功能不全手术患者中，尽管手术方式不同，但对侧肢体仍会出现病变。因此，在某些情况下，分叉假体植入的适应症应扩大。
