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[动脉粥样硬化性主-髂动脉闭塞症的重建手术]

[Reconstructive surgery in atherosclerotic aortoiliac occlusions].

作者信息

Nikonenko A S

出版信息

Vestn Khir Im I I Grek. 1981 Oct;127(10):72-7.

PMID:7314404
Abstract

The article discusses results of reconstructive operation in 140 patients with aorto-iliac occlusions. Standard femoro-femoral shunting was fulfilled in 84 patients, cross femoro-femoral shunting -- in 38, axillary-femoral shunting -- in 4 patients. To the author's mind, the aorto-femoral reconstructions in spite of their high efficiency can not be recommended to patients with severe concomitant diseases because of their traumatic character. The author substantiates the differentiated approach to choosing the means of reconstructive measures, with the degree of risk and variations of atherosclerotic lesions taken into account.

摘要

本文讨论了140例主-髂动脉闭塞患者的重建手术结果。84例行标准股-股分流术,38例行交叉股-股分流术,4例行腋-股分流术。作者认为,主-股动脉重建术尽管效率很高,但因其创伤性,不建议用于患有严重合并症的患者。作者证实了在选择重建措施时应采取差异化方法,要考虑到风险程度和动脉粥样硬化病变的差异。

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