Neugodov Iu V
Khirurgiia (Mosk). 1990 Nov(11):28-33.
Reconstructive operations were carried out in 75 patients with occlusive lesions of the femoropopliteal-tibial segment and poor condition of the outflow tract. In group I consisting of 35 patients, a typical autovenous shunt was formed. A similar operation was conducted in 40 patients of group II with additional creation of an arteriovenous fistula. A method for creation of the fistula suggested by the author is described. Regional hemodynamics was studied in both groups of patients by arteriography, ultrasonic and electromagnetic flow measurement. The positive role of the fistula in increasing the volumetric rate of blood flow in the shunt is shown. The immediate and late-term postoperative results are discussed. Three years later patency was maintained by 26.1% of shunts in group I and by 62.2% in group II.
对75例股腘 - 胫段闭塞性病变且流出道状况不佳的患者进行了重建手术。在由35例患者组成的I组中，形成了典型的自体静脉分流。在II组的40例患者中进行了类似手术，并额外建立了动静脉瘘。描述了作者提出的建立瘘的方法。通过动脉造影、超声和电磁血流测量对两组患者的局部血流动力学进行了研究。显示了瘘在增加分流中血流量容积率方面的积极作用。讨论了术后近期和远期结果。三年后，I组中26.1%的分流保持通畅，II组中62.2%的分流保持通畅。
