Owens M L, Wilson S E, Schwartz I
Arch Surg. 1980 Sep;115(9):1099-102. doi: 10.1001/archsurg.1980.01380090067016.
Records from 165 patients who had received aortoiliac or aortofemoral bypass grafts were reviewed. The overall five-year patency rate was 88%. There was no significant difference in operative duration, amount of blood transfused, postoperative complications, and life table patency rates when comparisons were made of unilateral and bilateral grafts, of patients who underwent sympathectomy and those who did not, or of aortofemoral and aortoiliac grafts. When bypass grafting included an additional procedure, the amount of blood transfused and the number of postoperative complications increased significantly. We conclude that (1) the decision to operate should be based on symptoms, (2) the site of anastomosis should be chosen from anatomic characteristics, and (3) other procedures should not be performed except to achieve obvious therapeutic goals and to assure graft patency.
回顾了165例接受主髂动脉或主股动脉搭桥移植术患者的记录。总体五年通畅率为88%。对单侧和双侧移植、接受交感神经切除术和未接受交感神经切除术的患者、主股动脉和主髂动脉移植进行比较时，手术持续时间、输血量、术后并发症和生命表通畅率均无显著差异。当搭桥移植术包括额外手术时，输血量和术后并发症数量显著增加。我们得出结论：(1)手术决策应基于症状；(2)吻合部位应根据解剖特征选择；(3)除非为了实现明显的治疗目标并确保移植通畅，否则不应进行其他手术。
