O'Donnell T F, McBride K A, Callow A D, Lahey S J, Scarpato R A, Kelley J J, Deterling R A
Am J Surg. 1981 Apr;141(4):452-9. doi: 10.1016/0002-9610(81)90139-2.
Eighty-five of 148 inflow procedures were performed for combined segment disease. Our study shows that aortofemoral bypass is clinically and functionally superior to axillofemoral bypass in limbs with combined segment disease and hemodynamic criteria for limb salvage. The results of these two procedures are comparable for claudicant limbs. A derivative of segmental plethysmography, the predictive index, can select preoperatively those limbs that will fail to respond to aortofemoral bypass alone. Finally, either in limbs selected for aortofemoral bypass with both ischemic tissue lesions and a predictive index greater than 0.2 or in limbs selected for axillofemoral bypass with ischemic tissue lesions alone, a synchronous procedure can be performed with relatively low morbidity and excellent early functional results.
148例流入道手术中有85例是针对合并节段性病变进行的。我们的研究表明，在合并节段性病变且有肢体挽救血流动力学标准的肢体中，主股动脉旁路移植术在临床和功能上优于腋股动脉旁路移植术。这两种手术在间歇性跛行肢体中的结果相当。作为节段性体积描记法的一种衍生方法，预测指数可以在术前选择那些仅进行主股动脉旁路移植术无效的肢体。最后，对于选择进行主股动脉旁路移植术且既有缺血性组织病变且预测指数大于0.2的肢体，或者对于仅选择进行腋股动脉旁路移植术且有缺血性组织病变的肢体，可以进行同期手术，其发病率相对较低且早期功能效果良好。
