Galland R B, Hill D A, Gustave R, Jamieson C W
Br J Surg. 1980 May;67(5):344-6. doi: 10.1002/bjs.1800670514.
We have reviewed the results of aorto-iliac reconstruction in 173 patients. We found that the presence of distal disease resulted in significantly worse results, when assessed by the patients' ability to walk and by postoperative pressure index changes, than if the run-off were clear. The importance of subsequent or simultaneous distal reconstruction in these cases is discussed. Patients having rest pain were older, had a worse runoff and had a higher incidence of associated disorders than patients having intermittent claudication alone.
我们回顾了173例主-髂动脉重建术的结果。我们发现,当根据患者的行走能力和术后压力指数变化进行评估时,远端疾病的存在导致的结果明显比远端血管通畅时更差。本文讨论了在这些病例中进行后续或同期远端重建的重要性。与仅患有间歇性跛行的患者相比,患有静息痛的患者年龄更大,远端血管情况更差,合并症的发生率更高。