Gervaziev V B, Bykov V M, Khorev N G, Fust V I, Lepilov A V
Grud Serdechnososudistaia Khir. 1992(1-2):25-30.
Standard operative interventions (thromboendarterectomy, (autovenous shunt) in patients with thromboangiitis obliterans of the lower limbs produce a poor effect. This is explained both by a poor initial condition of the draining channels and by advancement of the primary thromboangitic affection of the vascular wall in the zone of the intervention with its development into a stenotic-occlusive process. The use of some technical (operative) innovations, particularly postoperative arterial infusion of suspended forms of immunosuppresive agents (hydrocortisone, Kenalog), increased essentially the efficacy of restorative operations on the vessels with a high level of limb preservation and patency of the vessels which had been operated on.
标准手术干预(血栓内膜切除术、下肢血栓闭塞性脉管炎患者的自体静脉分流术)效果不佳。这既归因于引流通道的初始状况较差,也归因于干预区域血管壁原发性血栓性血管病变的进展及其发展为狭窄闭塞性病变。使用一些技术(手术)创新方法,尤其是术后动脉输注悬浮形式的免疫抑制剂(氢化可的松、去炎松),显著提高了血管修复手术的疗效,肢体保留水平较高,且手术血管保持通畅。