Pellegrino F, Morosini S, Manfredi A, Goffrini P
Minerva Chir. 1977 Mar 15;32(5):239-56.
Ten cases of post-traumatic arterial thrombosis are described. The anatomopathological, diagnosis and therapeutic aspects of peripheral artery lesions of this type are examined. Surgical exploration followed by reconstruction are dictated by the presence and degree of seriousness of ischaemia; they are not subordinate to arteriography, itself not always necessary. Resection of the confused segment and reconstruction is the management of choice. Thrombectomy and thromboendarteriectomy cannot be considered as rational operations, even though they can be used in a few special cases, such as iatrogenic forms. Reconstruction is best achieved by direct anastomosis or with the aid of venous grafts. A prosthesis, on the other hand, is liable to produce less satisfactory long-term results.
本文描述了10例创伤后动脉血栓形成的病例。对这类外周动脉损伤的解剖病理学、诊断及治疗方面进行了研究。缺血的存在及严重程度决定了需进行手术探查并随后进行重建;手术并不从属于动脉造影,动脉造影本身也并非总是必要的。切除病变节段并进行重建是首选的治疗方法。血栓切除术和血栓内膜切除术不能被视为合理的手术方式,尽管它们可用于少数特殊情况,如医源性病例。重建最好通过直接吻合或借助静脉移植物来实现。另一方面,假体植入往往难以取得令人满意的长期效果。