Shionoya S, Hirai M, Kawai S, Seko T, Ban I
Angiology. 1982 Jun;33(6):375-84. doi: 10.1177/000331978203300603.
The pattern of arterial occlusion in Buerger's disease was analyzed by simultaneous bilateral femoral arteriography in 210 limbs of 105 patients with Buerger's disease. In 55 limbs of 42 patients, the femoropopliteal segment was affected in addition to the infrapopliteal arterial obstructive lesion. The pattern of crural arterial occlusion was similar in about 40% of both the patients with femoropopliteal occlusion and the patients with crural occlusion. Toes were ulcerated in 4 of 58 limbs with continuous arterial flow, and ulceration occurred in 86 of 152 limbs with a discontinuous flow. The rate of occurrence of bilateral trophic lesion in the group with an arteriographically similar occlusion pattern was not significantly higher than that in the group with a different pattern. The pattern of arterial occlusion in Buerger's disease seemed to be fixed mainly within 1 year after the onset of symptoms, and the skip-lesion in the main artery was favorable to proximal progression of the disease.
通过对105例血栓闭塞性脉管炎患者的210条肢体进行同步双侧股动脉造影，分析了血栓闭塞性脉管炎的动脉闭塞模式。在42例患者的55条肢体中，除了腘动脉以下动脉阻塞性病变外，股腘段也受到影响。在股腘动脉闭塞患者和小腿动脉闭塞患者中，约40%的患者小腿动脉闭塞模式相似。在58条动脉血流持续的肢体中，有4条出现脚趾溃疡，在152条动脉血流间断的肢体中，有86条出现溃疡。动脉造影闭塞模式相似组双侧营养性病变的发生率并不显著高于模式不同组。血栓闭塞性脉管炎的动脉闭塞模式似乎在症状出现后1年内主要固定，主动脉中的跳跃性病变有利于疾病向近端发展。
