Kärkölä P, Rönty H, Larmi T K
Ann Chir Gynaecol. 1977;66(1):36-40.
Thirty patients with 43 ischaemic limbs were treated by profundal revascularization. 10 patients had impending gangrene preoperatively; the limbs were saved in 8 cases, and four have not had postoperative claudication symptoms. None had postoperative rest pain. In 53% of the whole material the results were evaluated as excellent with no ischaemic symptoms, and in 30% as good with only slight claudication. Profundal revascularization is a valuable method of saving pregangrenous limbs in advanced arteriosclerosis and a worthwhile alternative to femoro-popliteal bypass in suitable cases.
30例患有43条缺血肢体的患者接受了股深血管重建术治疗。10例患者术前有即将发生坏疽的情况;8例肢体得以挽救,4例术后无间歇性跛行症状。无一例有术后静息痛。在全部病例中,53%的结果被评估为优秀,无缺血症状,30%为良好,仅有轻微间歇性跛行。股深血管重建术是挽救晚期动脉硬化症中处于坏疽前期肢体的一种有价值的方法,在合适的病例中是股腘动脉旁路移植术的一种值得采用的替代方法。