Belov S, Loose D A
Union of Scientific Workers, Sofia, Bulgaria.
Int Angiol. 1990 Jul-Sep;9(3):175-82.
The special nature of the anatomopathological structure and of the haemodynamic disturbances in congenital vascular defects causes certain peculiarities in their operative treatment. In our experience therapeutical strategy should be based on the following basic principles: active causal therapy combating pathogenesis, individual treatment, early operation, functionally radical operation, operation by stages and combined treatment. The numerous operative techniques are subdivided as follows according to surgical tactics: reconstructive operations, operations to remove the vascular defect, operations to reduce haemodynamic activity of the vascular defect and other nonhaemodynamic operations. Good postoperative results obtained after the use of the principles indicated above in a large number of patients treated by vascular surgeons in six different countries proved the validity of active and causal treatment of these severe diseases.
先天性血管缺陷的解剖病理结构和血流动力学紊乱的特殊性质，导致其手术治疗具有某些特殊性。根据我们的经验，治疗策略应基于以下基本原则：对抗发病机制的积极病因治疗、个体化治疗、早期手术、功能根治性手术、分期手术和综合治疗。众多手术技术根据手术策略可细分为以下几类：重建手术、切除血管缺陷的手术、降低血管缺陷血流动力学活性的手术以及其他非血流动力学手术。六个不同国家的血管外科医生运用上述原则治疗了大量患者，术后取得了良好效果，证明了对这些严重疾病进行积极病因治疗的有效性。
