Losev R Z, Gavrilov V A, Kliachkin M L
Grud Serdechnososudistaia Khir. 1991 Oct(10):26-30.
The study is based on the analysis of the results of examination and operative treatment of 692 patients with atherosclerotic lesions of the aorta, its branches, and the limb arteries. The advantages of the extraperitoneal approach to the aorta over the transperitoneal approach in aorto-femoral reconstructions is proved. Stable postoperative intestinal paresis, peritonitis, intraabdominal bleeding, eventration, and adhesive disease do not occur with this approach. Such operations are not attended by a high incidence of coronary and cerebral vascular complications during and after the operation. The work gives the first appraisal of the results of postoperative plasmapheresis (21 patients) applied for normalization of hemorheological and lipoprotein disorders in different periods after the operation. The suggested complex approach to the treatment of atherosclerosis obliterans facilitates improvement of the immediate and late-term results of reconstructive operations on the vessels.
该研究基于对692例主动脉、其分支及肢体动脉粥样硬化病变患者的检查结果和手术治疗情况的分析。在主动脉-股动脉重建术中，经腹膜外途径处理主动脉相较于经腹膜途径的优势得到了证实。采用这种方法不会出现术后肠道麻痹、腹膜炎、腹腔内出血、腹疝及粘连性疾病等情况。此类手术在术中及术后也不会出现较高发生率的冠状动脉和脑血管并发症。该研究首次评估了术后血浆置换（21例患者）在术后不同时期用于使血液流变学和脂蛋白紊乱恢复正常的效果。所建议的闭塞性动脉粥样硬化综合治疗方法有助于改善血管重建手术的近期和远期效果。
