Hansen A K, Bille S, Nielsen P H, Egeblad K
Department of Thoracic and Vascular Surgery, Aalborg, Denmark.
Surg Gynecol Obstet. 1990 Jul;171(1):47-50.
Twenty-one profundaplasties were performed as the only reconstructive procedure. All of the patients had severe ischemia of the lower extremity with serious symptoms, such as rest pain or gangrene, or both. There was no postoperative mortality. Two patients had a crural amputation, and one patient, a femoral amputation performed during the first three months postoperatively. All of the other patients improved, and there was a significant rise in distal blood pressures after one week, further increasing after three months. At follow-up study, 15 of the patients had considerably less symptoms than preoperatively or were free of symptoms. There was a limb salvage rate of 83 per cent after 60 months. The operation is recommended whenever possible in patients with severe ischemia of the lower extremity when the possibilities of other reconstructive procedures are considered to be poor.
进行了21例股深动脉成形术作为唯一的重建手术。所有患者均患有下肢严重缺血且伴有严重症状，如静息痛或坏疽，或两者皆有。术后无死亡病例。2例患者进行了小腿截肢，1例患者在术后前三个月进行了大腿截肢。所有其他患者均有改善，术后一周远端血压显著升高，三个月后进一步升高。在随访研究中，15例患者的症状比术前明显减轻或无症状。60个月后的肢体 salvage率为83%。当考虑其他重建手术的可能性较差时，对于下肢严重缺血的患者，建议尽可能进行该手术。
