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[主动脉及主要动脉闭塞性病变的外科治疗]

[Surgical treatment of occlusive lesions of the aorta and major arteries].

作者信息

Korolev B A, Aver'ianov Iu A, Makrov N A, Kulikov N V, Zharikov V I

出版信息

Kardiologiia. 1978 Aug;18(8):11-4.

PMID:691949
Abstract

Operations were performed on 262 patients with occlusive lesions of the abdominal aorta and major arteries. In 41 patients a lateral venous autograft was applied after endarterectomy, in 42 an autovenous shunt was created after open endarterectomy, 26 patients underwent eversion endarterectomy. Prosthetic alloplasty of the aorta and major arteries was conducted on 63 patients and an allograft shunt was formed in 41. Lumbar sympathectomy was carried out on all patients as a rule after reconstructive-restorative operations. Nineteen patients died after the operation. Complications developed in the postoperative period in 41 patients. Marked improvement or the disappearance of the symptoms of the disease was noted in the immediate postoperative period in 231 patients (95%).

摘要

对262例腹主动脉及主要动脉闭塞性病变患者进行了手术。41例患者在动脉内膜切除术后应用了自体静脉侧移植,42例在开放性动脉内膜切除术后建立了自体静脉分流,26例患者接受了外翻动脉内膜切除术。对63例患者进行了主动脉及主要动脉的人工血管成形术,41例形成了同种异体移植分流。通常在重建修复手术后对所有患者进行腰交感神经切除术。19例患者术后死亡。41例患者在术后出现并发症。231例患者(95%)在术后即刻症状明显改善或疾病症状消失。

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