Lai S T, Cheng K J
Department of Surgery, National Yang-Ming Medical College, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Jul;48(1):25-30.
Angioscopy as a guide for intraoperative transluminal angioplasty was used in the treatment of 36 arterial occlusive lesions in 32 patients, thirty males and two females with mean age of 67.72 +/- 5.95 years (range from 57 to 75 years). Of these, 19 involved the iliac artery and 17 the femoropopliteal artery. All the intraluminal lesions of the artery were successfully visualized. Patency rate for iliac transluminal angioplasty was 95% at the first year and 85% at the second and third years. For femoropopliteal transluminal angioplasty it was 80% at the sixth month and 72% one to three years after. The results in our series were satisfactory when angioscopy was used as an adjunct to assist intraoperative transluminal angioplasty so that the operation could be done more safely and more time-saving with no significant clinical complications. In view of these encouraging results, we will recommend angioscopy as a specific ancillary technique in certain cases of peripheral vascular disease during concomitant vascular surgery, but long term investigation is necessary.
血管内镜作为术中腔内血管成形术的指导手段，用于治疗32例患者的36处动脉闭塞性病变，其中男性30例，女性2例，平均年龄67.72±5.95岁（年龄范围57至75岁）。其中，19处病变累及髂动脉，17处累及股腘动脉。所有动脉腔内病变均成功显影。髂动脉腔内血管成形术第1年的通畅率为95%，第2年和第3年为85%。股腘动脉腔内血管成形术第6个月时通畅率为80%，术后1至3年为72%。当血管内镜作为辅助手段协助术中腔内血管成形术时，本系列研究结果令人满意，手术可更安全、更省时地完成，且无明显临床并发症。鉴于这些令人鼓舞的结果，我们建议在某些周围血管疾病合并血管手术时，将血管内镜作为一种特定的辅助技术，但仍需进行长期研究。
