[腹主动脉及其分支闭塞性疾病患者重建手术结果的评估]
[Evaluation of the results of reconstructive operations in patients with occlusive diseases of the abdominal aorta and its branches].
作者信息
Mikaelian A L, Mkrtchian A A, Aiunts M B, Kazarian G A, Gusakova N F, Aglintsian T S, Sultanian T L, Stepanova M I
出版信息
Khirurgiia (Mosk). 1990 May(5):56-9.
The article deals with the results of studying regional microcirculation in 550 patients with chronic arterial insufficiency. Radioisotope study of blood flow in the muscles with isotopes 131I or 133Xe before and after muscular exertion, morpho-histological++ study of biopsies from a skeletal muscle, histochemical and ultrastructural study of the microcirculatory channel were carried out. Analysis of the findings made it possible to distinguish, according to the changes in circulation in the tissues, three clinical groups of patients (compensated, subcompensated, and decompensated), to determine the indications and contraindications for various types of reconstructive operations, and to prognosticate with high authenticity the outcome of the disease.
本文探讨了550例慢性动脉供血不足患者的局部微循环研究结果。在肌肉运动前后，用131I或133Xe同位素对肌肉血流进行放射性同位素研究，对骨骼肌活检进行形态组织学研究，对微循环通道进行组织化学和超微结构研究。对研究结果的分析使得根据组织循环的变化区分出三组临床患者（代偿期、亚代偿期和失代偿期）成为可能，确定了各种重建手术的适应证和禁忌证，并高度准确地预测了疾病的预后。
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