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间歇性跛行阶段下肢动脉疾病的重建手术。100例报告(作者译)

[Reconstructive surgery in arterial disease of the legs at the stage of intermittent claudication. Report of 100 cases (author's transl)].

作者信息

Kün P, Battino J, Bonnaud-Delamare C, Witchitz S, Flabeau F

出版信息

J Chir (Paris). 1979 Jun-Jul;116(6-7):419-22.

PMID:489691
Abstract

100 patients with stage II arteritis (claudication alone) were operated on. In the vast majority of cases (78%), the lesions were aorto-iliac. The operative mortality was nil. The immediate follow up period included 2 thromboses requiring 2 reoperations. The long term follow up, on average 22 months (from 8 months to 3 years) was very satisfactory with a good functional result in 94.5% of cases. We noted 4 deaths, of which 3 were of cardiovascular origin, 4 secondary thromboses of which 2 were due to suddenly stopping anticoagulants. The low morbidity is a further reason for early surgery, as it is known that the risks of operation at a later stage, e.g. stages III and IV, may occur suddenly in the course of an apparently stable arteritis.

摘要

100例II期动脉炎(仅间歇性跛行)患者接受了手术。在绝大多数病例(78%)中,病变位于主-髂动脉。手术死亡率为零。近期随访期内有2例血栓形成,需再次手术。长期随访平均为22个月(从8个月至3年),结果非常令人满意,94.5%的病例功能恢复良好。我们记录到4例死亡,其中3例源于心血管疾病,4例继发性血栓形成,其中2例是由于突然停用抗凝剂。低发病率是早期手术的另一个原因,因为众所周知,在后期阶段(如III期和IV期)进行手术的风险可能在看似稳定的动脉炎病程中突然出现。

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