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下肢缺血性疾病行主-股动脉搭桥术后的发病率和死亡率。

Morbidity and mortality after aortofemoral grafting for peripheral limb ischaemia.

作者信息

Naylor A R, Ah-See A K, Engeset J

出版信息

J R Coll Surg Edinb. 1989 Aug;34(4):215-8.

PMID:2810185
Abstract

Over a 10-year period, aortofemoral grafting was employed in the revascularization of 484 limbs in 245 patients with peripheral limb ischaemia. Six patients (2.4%) died in the postoperative period, the most common cause of death being myocardial infarction. Forty-three patients (18%) developed significant non-fatal complications within 30 days of operation, half of whom required further surgery as a consequence. Thirty-seven patients suffered late graft-related complications of which graft thrombosis was the most common. Immediate graft patency was 98.4%, cumulative patency was 95% and 87% at 1 and 5 years respectively. False aneurysm formation was encountered in 3.3% of patients, deep graft sepsis in 1.6% and the phenomenon of 'non-healing' of grafts in 1.2%. Cumulative survival following elective surgery was 97% and 84% at 1 and 5 years respectively, and 89% and 72% for those undergoing limb salvage procedures.

摘要

在10年期间,对245例肢体周围缺血患者的484条肢体进行了主股动脉搭桥术以实现血管重建。6例患者(2.4%)在术后死亡,最常见的死亡原因是心肌梗死。43例患者(18%)在术后30天内出现严重非致命并发症,其中一半患者因此需要进一步手术。37例患者出现晚期移植物相关并发症,其中移植物血栓形成最为常见。即刻移植物通畅率为98.4%,1年和5年的累积通畅率分别为95%和87%。3.3%的患者出现假性动脉瘤形成,1.6%的患者出现深部移植物感染,1.2%的患者出现移植物“不愈合”现象。择期手术后1年和5年的累积生存率分别为97%和84%,接受肢体挽救手术的患者分别为89%和72%。

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