Donders H P, Wijffels C C, Lobach H J
J Cardiovasc Surg (Torino). 1980 Jan-Feb;21(1):59-66.
Semi-closed thromboendarterectomy with the aid of a ring stripper appears not yet to have been abandoned as a method of reconstruction in occlusions in the femoro-popliteal tract. In a series of 142 operations, 5 years postoperatively, 44% of the stripped vascular tracts were still patent and 41% were occluded. Eighteen patients, in whom 20 operations had been performed, had died less than 5 years after the operation. The surgical mortality rate was 0%. There is no significant difference between the results of the operations performed because of Fontaine stages II and III. The incidence of recurrent occlusion was not demonstrably influenced by diabetes mellitus, or by continuation versus cessation of smoking after the operation. A review is presented of the results of semi-closed thromboendarterectomy, open-thromboendarterectomy and venous bypass as reported in the literature.
借助环形剥脱器的半闭合性血栓内膜切除术，作为股腘动脉段闭塞的一种重建方法，似乎尚未被摒弃。在一系列142例手术中，术后5年，44%的剥脱血管段仍保持通畅，41%发生闭塞。18例患者接受了20次手术，术后不到5年死亡。手术死亡率为0%。因Fontaine分期II期和III期而进行的手术结果之间无显著差异。糖尿病、术后继续吸烟或戒烟对再发闭塞的发生率无明显影响。本文对文献报道的半闭合性血栓内膜切除术、开放性血栓内膜切除术和静脉搭桥术的结果进行了综述。
