King R B
Aust Fam Physician. 1979 Jul;8(7):719-30.
Many patients with intermittent claudication improve due to development of collateral vessels. Only a small proportion worsen, and few progress to severe ischaemia with the risk of amputation. Accordingly, most patients can be reassured and treated expectantly. Those patients have a reduced life expectancy compared with the population at large. Thus, surgical treatment should be reserved for patients who are severely restricted by claudication. The early technical results of arterial reconstruction for claudication are excellent. However, the late results are much worse in patients who continue to smoke. Nowadays, the complication rate from surgery is low.
许多间歇性跛行患者因侧支血管的形成而病情改善。只有一小部分患者病情恶化，很少有患者进展为严重缺血并有截肢风险。因此，大多数患者可以得到安慰并进行观察治疗。与普通人群相比，这些患者的预期寿命缩短。因此，手术治疗应仅用于因跛行而严重受限的患者。用于治疗跛行的动脉重建术早期技术效果极佳。然而，继续吸烟的患者后期效果要差得多。如今，手术的并发症发生率较低。
