Hollier L H, Bernatz P E, Pairolero P C, Payne W S, Osmundson P J
Surgery. 1981 Dec;90(6):940-6.
Fifty-six patients with chronic intestinal ischemia underwent surgical revascularization. All patients had abdominal pain, 98% experienced significant weight loss, and 75% had an abdominal bruit. Visceral artery occlusive disease was documented by angiography in all patients; 77% of our patients had multiple-vessel occlusive disease, and 23% had single-vessel involvement of either the celiac or the superior mesenteric artery. The mortality rate was 8.9%. Ninety-six percent of the survivors were completely relief of symptoms, but an overall late recurrence rate was noted in 26.5%. Fifty-nine percent of our patients underwent revascularization of all stenotic vessels. Complete revascularization in multiple-vessel disease resulted in a late recurrence rate of 11%. When two of three stenotic vessels were revascularized, there was a 29% recurrence rate, and when one of three stenotic vessels was revascularized, there was a 50% recurrence rate. These findings suggest that although single-vessel revascularization may relieve symptoms, the optimal long-term result can be obtained by complete revascularization of all stenotic vessels.
56例慢性肠缺血患者接受了手术血运重建。所有患者均有腹痛，98%的患者体重显著减轻，75%的患者有腹部血管杂音。所有患者经血管造影证实存在内脏动脉闭塞性疾病；77%的患者有多支血管闭塞性疾病，23%的患者有腹腔干或肠系膜上动脉单支血管受累。死亡率为8.9%。96%的幸存者症状完全缓解，但总体晚期复发率为26.5%。59%的患者对所有狭窄血管进行了血运重建。多支血管疾病完全血运重建后的晚期复发率为11%。当三支狭窄血管中的两支进行血运重建时，复发率为29%，当三支狭窄血管中的一支进行血运重建时，复发率为50%。这些发现表明，虽然单支血管血运重建可能缓解症状，但通过对所有狭窄血管进行完全血运重建可获得最佳的长期效果。
