Langeron P, Mikati A, Mussche E
Service de chirurgie A, Centre Hospitalier St Philibert, Lomme.
J Chir (Paris). 1988 May;125(5):332-6.
In this study of 52 patients aged between 32 and 60 years, maintenance or restoration of sexual function during aorto-iliac surgery represented a usually non-priority but certainly desirable objective. Aspects studied were: place of crossed bypass and of endarterectomy-type of aorto-prosthesis anastomosis: end-to-end or end-to-side - routine or non-routine reimplantation of a hypogastric artery. Results in this series showed a lack of advantage from the sexual point of view for end-to-side over end-to-end surgery; hypogastric reimplantation offers a supplementary guarantee of efficacy but should not be performed routinely; crossed bypass operations are certainly interesting solutions in young patients. Endarterectomy should not be rejected as a matter of principle but with respect to sexual function its indications should be reserved for cases not requiring extensive dissection of arterial axes.
在这项针对52名年龄在32至60岁之间患者的研究中，在主-髂动脉手术期间维持或恢复性功能通常并非首要任务，但无疑是一个理想目标。所研究的方面包括：交叉搭桥的位置以及动脉内膜切除术式的主动脉-假体吻合方式：端端吻合或端侧吻合——下腹动脉的常规或非常规再植。该系列研究结果表明，从性功能角度来看，端侧手术相较于端端手术并无优势；下腹动脉再植可提供额外的疗效保障，但不应常规进行；交叉搭桥手术对于年轻患者而言无疑是有趣的解决方案。动脉内膜切除术原则上不应被摒弃，但就性功能而言，其适应证应仅限于无需广泛解剖动脉轴的病例。
