Koshkin V M, Bogdanets L I, Rodionov S V, Khaev S Kh
Grud Serdechnososudistaia Khir. 1993 May-Jun(3):9-11.
The paper provides the results of multimodality conservative therapy in 527 patients with chronic obliterating diseases of extremity arteries, which was performed in the outpatient setting. Factors influencing its efficiency were analyzed. The paper emphasizes the value of this direction of treatment whose underestimation sharply aggravates the prognosis of these diseases, including the results of their surgical management. Having obtained positive results in 84.5% of patients, the authors note the efficiency of treatment to be decreased with severe arterial insufficiency of lower extremities (5% of negative results in Stage IIa, 23% in Stage IIb, and 40% in Stage III), in patients with prior surgical interventions, and in elderly patients with atherosclerosis obliterans and younger patients with non-specific aortoarteritis.
本文提供了在门诊环境中对527例慢性肢体动脉闭塞性疾病患者进行多模式保守治疗的结果。分析了影响其疗效的因素。本文强调了这种治疗方向的价值，对其低估会严重恶化这些疾病的预后，包括手术治疗的结果。作者指出，在84.5%的患者中取得了积极结果，但在下肢严重动脉供血不足的患者（IIa期阴性结果为5%，IIb期为23%，III期为40%）、有过手术干预的患者以及患有闭塞性动脉粥样硬化的老年患者和患有非特异性主动脉动脉炎的年轻患者中，治疗效果会降低。
