涤纶与聚四氟乙烯主动脉分叉移植物的前瞻性随机对照研究。
A prospective randomized comparison of Dacron and polytetrafluoroethylene aortic bifurcation grafts.
作者信息
Friedman S G, Lazzaro R S, Spier L N, Moccio C, Tortolani A J
机构信息
Division of Vascular Surgery, North Shore, University Hospital and Cornell University Medical College, Manhasset, N.Y. 11030.
出版信息
Surgery. 1995 Jan;117(1):7-10. doi: 10.1016/s0039-6060(05)80223-5.
BACKGROUND
The purpose of this study was to compare the long-term results of Dacron and polytetrafluoroethylene (PTFE) aortic bifurcation grafts in a prospective randomized manner.
METHODS
Sixty patients with aortoiliac occlusive disease were randomized to receive Dacron or PTFE bifurcation grafts. Preoperative risk factors, perioperative blood loss and fluid requirements, and postoperative complications were compared. A mean follow-up of 57 months was achieved.
RESULTS
The immediate postoperative morbidity and mortality rates were similar in the two groups, and the long-term complications were low in number and comparable. The cumulative patency rate for Dacron graft limbs was 86% versus 95% for PTFE graft limbs.
CONCLUSIONS
No significant differences were noted between the results achieved with Dacron and PTFE aortic bifurcation grafts.
背景
本研究旨在以前瞻性随机方式比较涤纶和聚四氟乙烯（PTFE）主动脉分叉移植物的长期效果。
方法
60例主髂动脉闭塞性疾病患者被随机分配接受涤纶或PTFE分叉移植物。比较术前危险因素、围手术期失血量和液体需求量以及术后并发症。平均随访57个月。
结果
两组术后即刻的发病率和死亡率相似，长期并发症数量少且相当。涤纶移植物肢体的累积通畅率为86%，而PTFE移植物肢体为95%。
结论
涤纶和PTFE主动脉分叉移植物的效果之间未发现显著差异。
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