Thompson B W, Read R C, Slayden J E, Boyd C M
J Cardiovasc Surg (Torino). 1977 Jan-Feb;18(1):55-62.
Profundaplasty has been performed on 58 limbs (45 primary and 13 secondary) in 45 men. Thirty-four of these had incapacitating claudication, 14 rest pain, and 10 either gangrene or ischemic ulceration. In 19 treated by profundaplasty alone there were no deaths but three subsequently had amputation for ischemic pain. In 39 with profundaplasty plus a proximal operative augmentation there were two (6.7%) operative deaths and one (3.4%) late death but only one extremity had to be amputated. Radionuclide flow studies confirmed physical and arteriographic findings. After profundaplasty alone and profundaplasty plus aortofemoral bypass there was moderate increase in calf blood flow but in only those with a patent superficial femoral did the flow studies return to normal. Profundaplasty is an important addition to the armamentarium of the vascular surgeon in dealing with arteriosclerotic insufficiency of the lower extremities.
对45名男性的58条肢体（45条初次手术，13条二次手术）施行了股深动脉成形术。其中34人有致残性跛行，14人有静息痛，10人有坏疽或缺血性溃疡。仅接受股深动脉成形术治疗的19例中无死亡病例，但有3例随后因缺血性疼痛而截肢。39例接受股深动脉成形术加近端手术增强术的患者中有2例（6.7%）手术死亡，1例（3.4%）晚期死亡，但仅1条肢体需要截肢。放射性核素血流研究证实了体格检查和血管造影的结果。单独施行股深动脉成形术以及股深动脉成形术加主动脉股动脉旁路移植术后，小腿血流量有中度增加，但只有那些股浅动脉通畅的患者血流研究结果恢复正常。股深动脉成形术是血管外科医生处理下肢动脉硬化性供血不足的重要手段。
