Guilmot J L, Diot E, Boissier C, Capron L
Service de médecine interne B, CHU Bretonneau, Tours.
Rev Prat. 1995 Jan 1;45(1):38-43.
Diagnosis and treatment of lower limbs arterial disease do not depend exclusively on functional staging. Fontaine's classification has to be replaced by a classification based on clinical and complementary investigations to understand better the evolutive risks, and guide management. Distal systolic pressures along with symptom analysis and clinical examination allow a more precise diagnosis. Complementary investigations aim at assessing, the localization and extension of atherosclerotic lesions; the severity of tissue ischaemia. The concept of critical ischaemia has tried to insure greater diagnostic homogeneity for patients with rest ischaemia. The role of complementary investigation can only increase for the diagnosis and management sclerotic arterial disease. The detection of the other localizations of atherosclerosis and arteriosclerosis are essential to prevent complications which are responsible for the prognosis of the disease. Sclerotic arterial diseases represent approximately 90 to 95% of the causes of arterial diseases. Identification of these other causes remains, however, essential as it can greatly influence prognosis.
下肢动脉疾病的诊断和治疗并非仅依赖于功能分期。必须用基于临床和辅助检查的分类来取代Fontaine分类法，以便更好地了解疾病进展风险并指导治疗。远端收缩压连同症状分析和临床检查有助于做出更精确的诊断。辅助检查旨在评估动脉粥样硬化病变的部位和范围，以及组织缺血的严重程度。严重缺血的概念试图确保对静息缺血患者有更高的诊断一致性。辅助检查在硬化性动脉疾病的诊断和治疗中的作用只会增加。检测动脉粥样硬化和动脉硬化的其他部位对于预防导致疾病预后的并发症至关重要。硬化性动脉疾病约占动脉疾病病因的90%至95%。然而，识别这些其他病因仍然至关重要，因为它会极大地影响预后。
