Pokrovskiĭ A V
Kardiologiia. 1986 Mar;26(3):5-12.
Three hundred cases of nonspecific aortoarteritis are reviewed. A new classification of the condition is proposed identifying 3 stages (acute inflammation, subacute recurrent inflammation and chronic condition), 3 types of morphologic changes (stenosing, deforming and aneurysmatic), 3 sites of lesion (aortic branches, the thoracoabdominal aorta and combined lesions) and 4 degrees of organ ischemia. Ten syndromes are distinguished in the clinical pattern, and their relative incidences are specified. A total of 253 operations, including 218 reconstructive ones, were performed: 83 on aortic branches, 87 on thoracoabdominal aorta, 40 on the abdominal aorta, and 11 for aortic aneurysms. Reconstructive surgery of renal arteries was performed in 89 patients, and of visceral arteries, in 55. The need for anti-inflammatory treatment is emphasized. Surgical treatment produces better results, as compared to conservative treatment alone.
回顾了300例非特异性主动脉动脉炎病例。提出了该病的一种新分类方法，确定了3个阶段（急性炎症、亚急性反复炎症和慢性期）、3种形态学改变类型（狭窄型、变形型和动脉瘤型）、3个病变部位（主动脉分支、胸主动脉和腹主动脉及联合病变）以及4级器官缺血。临床模式区分出10种综合征，并明确了它们的相对发病率。共进行了253例手术，其中包括218例重建手术：83例针对主动脉分支，87例针对胸主动脉和腹主动脉，40例针对腹主动脉，11例针对主动脉瘤。89例患者进行了肾动脉重建手术，55例进行了内脏动脉重建手术。强调了抗炎治疗的必要性。与单纯保守治疗相比，手术治疗效果更好。
