Graadal O, Pillgram-Larsen J, Dedichen H
Kar/thoraxkirurgisk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1994 Nov 10;114(27):3191-2.
After introduction of the crimped Dacron bifurcation prosthesis, bypass surgery has been the preferred surgical treatment for arteriosclerosis in the aortoiliacal segment. During the years 1979-88 we performed 152 aortoiliacal/femoral bypass operations. Perioperative mortality was 2%, while 96% of patients experienced improvement from operation. Primary and secondary five-year graft patency rates were 84 and 88%. Considering the high risk in this patient group, we regard the operational mortality to be acceptable, and the long term results satisfactory. However, surgical treatment should be reserved for patients with serious occlusive disease in the aortoiliac segment. For patients with more limited lesions, endovascular procedures are a relevant alternative to surgery.
在引入卷曲涤纶分叉假体后，旁路手术一直是主髂动脉段动脉硬化的首选外科治疗方法。1979年至1988年间，我们进行了152例主髂动脉/股动脉旁路手术。围手术期死亡率为2%，而96%的患者术后病情有所改善。一期和二期五年移植物通畅率分别为84%和88%。考虑到该患者群体的高风险，我们认为手术死亡率是可以接受的，长期结果也令人满意。然而，手术治疗应仅用于主髂动脉段患有严重闭塞性疾病的患者。对于病变较局限的患者，血管内介入治疗是一种可替代手术的相关选择。
