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影响周围动脉闭塞性重建手术预后的因素:闭塞性动脉硬化症与血栓闭塞性脉管炎的对比研究

Factors influenced on prognosis of reconstructive surgery for peripheral arterial occlusion: comparative study between arteriosclerosis obliterans and thromboangiitis obliterans.

作者信息

Nakata Y, Kawai S, Matsubara J, Ban I, Shionoya S

出版信息

J Cardiovasc Surg (Torino). 1977 Nov-Dec;18(6):547-53.

PMID:599159
Abstract

Reconstructive surgery was carried out in 93 patients of ASO and TAO. Factors influenced on prognosis were studied being compared with ASO and TAO. Cumulative 5-year patency was 60% in ASO and 25% in TAO. Distal patency was shown by total score given in each site of arteriogram. Patency rate was well correlated with combinated factors such as total score of arteriogram and back flow at site of surgery. Period from onset of symptom to surgery and site of operation also correlated with patency statistically, though total serum cholesterol, ischemic time at reconstructive surgery, and amount of bleeding at operation did not relate to prognosis. Causes of early failure and special problems of late failure in TAO were studied.

摘要

对93例动脉硬化闭塞症(ASO)和血栓闭塞性脉管炎(TAO)患者进行了重建手术。研究了影响预后的因素,并与ASO和TAO进行了比较。ASO患者的5年累积通畅率为60%,TAO患者为25%。通过血管造影片各部位的总分来显示远端通畅情况。通畅率与血管造影片总分和手术部位的回流等综合因素密切相关。症状出现至手术的时间和手术部位在统计学上也与通畅情况相关,尽管总血清胆固醇、重建手术时的缺血时间和手术出血量与预后无关。研究了TAO早期失败的原因和晚期失败的特殊问题。

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