Sayers R D, Thompson M M, Varty K, Jagger C, Bell P R
Department of Surgery, Leicester Royal Infirmary, U.K.
Ann Vasc Surg. 1993 Jan;7(1):102-5. doi: 10.1007/BF02042667.
We have reviewed 3036 consecutive patients who underwent arterial reconstruction, percutaneous transluminal angioplasty, or a major amputation for lower limb peripheral vascular disease in Leicester between 1974 and 1990. Patient data were obtained from the Hospitals Activity Analysis database, which codes all patient discharges according to diagnosis and treatment. During this 17-year study period, 1132 patients have undergone arterial reconstruction, 706 patients have undergone percutaneous transluminal angioplasty, and 1198 patients have undergone major amputation. The results show that the number of arterial reconstructions and angioplasties for lower limb arterial occlusive disease has increased over the last 17 years. The total amputation rate has decreased slightly during the period studied, but overall the decrease has not been significant.
我们回顾了1974年至1990年间在莱斯特因下肢周围血管疾病接受动脉重建、经皮腔内血管成形术或大截肢手术的3036例连续患者。患者数据来自医院活动分析数据库，该数据库根据诊断和治疗对所有患者出院情况进行编码。在这17年的研究期间，1132例患者接受了动脉重建，706例患者接受了经皮腔内血管成形术，1198例患者接受了大截肢手术。结果显示，在过去17年中，下肢动脉闭塞性疾病的动脉重建和血管成形术数量有所增加。在所研究的期间，总截肢率略有下降，但总体而言下降并不显著。
