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[髂股动脉闭塞性动脉硬化重建手术的近期结果]

[Immediate results of reconstructive operations in arteriosclerosis obliterans of the iliac and femoral arteries].

作者信息

Zhane A K

出版信息

Grud Serdechnososudistaia Khir. 1991 Sep(9):33-6.

PMID:1782047
Abstract

The work generalizes the immediate results of restoration of the main and collateral blood flow in 240 patients with arteriosclerosis obliterans of the iliac and femoral arteries. The outcomes of surgical treatment were judged according to the clinical and ultrasonic evaluation of regional hemodynamics. The results were found to be good in 84 (35.0%), satisfactory in 104 (47.5%), and poor in 42 (17.5%) patients. The results of operations on the iliac and femoral arteries are shown separately, as well as the results of surgery in their combined lesions. Thromboses of the reconstructed arteries and prostheses were encountered in 10 (4.17%), hemorrhages in 8 (3.33%), wound infection in 16 (6.67%), and venous thromboses in 4 (2.5%) patients. For the prevention of thromboses of the deep veins the author claims dosed physical exercises on a constructed training apparatus to be advisable. Amputation of the extremity was carried out in 10 (4.17%) patients because surgical correction of the blood flow proved ineffective and specific complications occurred.

摘要

该研究归纳了240例髂股动脉闭塞性动脉硬化患者主要和侧支血流恢复的近期结果。根据区域血流动力学的临床和超声评估来判断手术治疗的效果。结果显示,84例(35.0%)患者效果良好,104例(47.5%)患者效果满意,42例(17.5%)患者效果不佳。分别列出了髂动脉和股动脉手术的结果,以及它们合并病变时的手术结果。10例(4.17%)患者出现重建动脉和假体血栓形成,8例(3.33%)患者出现出血,16例(6.67%)患者出现伤口感染,4例(2.5%)患者出现静脉血栓形成。为预防深静脉血栓形成,作者主张在特制训练器械上进行定量体育锻炼是可取的。10例(4.17%)患者因血流手术矫正无效且出现特定并发症而进行了截肢。

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