Zhane A K
Grud Serdechnososudistaia Khir. 1991 Apr(4):7-11.
The article discusses the indications for and the choice of the method of reconstructive operations in patients with arteriosclerosis obliterans of the iliac and femoral arteries. It is based on the analysis of the results of examination and surgical treatment of 240 patients. Radiocontrast angiography and ultrasonic dopplerometry were applied for morphofunctional characteristics of regional circulation. The study showed that the surgical tactics in this category of patients should be determined by the severity of ischemia of the extremity, the character, localization, and length of the arteriosclerotic process, the state of the inflow and outflow passages, the condition of collateral circulation in the internal iliac and deep femoral arteries, and the presence and severity of concomitant diseases. The developed differentiated approach made it possible to achieve positive results of treatment in the immediate postoperative period in 82.50% and in the late-term follow-up periods in 77.38% of patients.
本文讨论了髂股动脉闭塞性动脉硬化患者重建手术的适应证及手术方法的选择。它基于对240例患者的检查结果和手术治疗的分析。采用放射造影血管造影和超声多普勒测量法对局部循环进行形态功能特征评估。研究表明，这类患者的手术策略应取决于肢体缺血的严重程度、动脉硬化过程的特征、部位、长度、流入和流出通道的状态、髂内动脉和股深动脉侧支循环的状况以及伴随疾病的存在和严重程度。所制定的差异化方法使得82.50%的患者在术后即刻取得了积极的治疗效果，77.38%的患者在远期随访期取得了积极的治疗效果。
