Holm J, Arfvidsson B, Jivegård L, Lundgren F, Lundholm K, Scherstén T, Stenberg B, Tylén U, Zachrisson B F, Lindberg H
Department of Surgery, Sahlgrenska Hospital, University of Göteborg, Sweden.
Eur J Vasc Surg. 1991 Oct;5(5):517-22. doi: 10.1016/s0950-821x(05)80338-x.
In a prospective randomised study, performed over a 6-year period, 102 patients with severe lower limb ischaemia or claudication resistant to exercise training were randomised either to percutaneous transluminal angioplasty (PTA) or vascular surgery. Only patients who could be treated by both methods were included, constituting only 5% of the total number of patients treated during this period. The two groups were similar regarding age, severity of symptoms and diabetes. The immediate and 1-year results showed similar success and complication rates. There was, however, a significantly shorter hospital stay for patients treated with PTA. Due to early complications and initial failures PTA should, however, only be used in institutions where vascular surgical facilities are available since PTA demands access to such treatment.
在一项为期6年的前瞻性随机研究中，102例严重下肢缺血或运动训练抵抗性跛行患者被随机分为经皮腔内血管成形术（PTA）组或血管手术组。仅纳入了两种方法均可治疗的患者，占该时期治疗患者总数的5%。两组在年龄、症状严重程度和糖尿病方面相似。即刻和1年的结果显示成功率和并发症发生率相似。然而，接受PTA治疗的患者住院时间明显更短。然而，由于早期并发症和初始失败情况，PTA仅应在具备血管外科设施的机构中使用，因为PTA需要有此类治疗的条件。
