Ward A S, Morris-Jones W
Br J Surg. 1977 May;64(5):365-7. doi: 10.1002/bjs.1800640519.
The long term results of profundaplasty in the treatment of femoropopliteal arterial occlusion have been reviewed. Fifty patients have been studied with a mean follow-up period of 4 years (range 6 months to 8 years). Intermittent claudication was abolished or substantially improved in 5 of the 25 cases (20 percent); rest pain was relieved in 10 of the 25 cases (40 per cent), the remainder requiring a major amputation. Lumbar sympathectomy produced little additional benefit in either group. The mortality rate in the rest pain group was high and only 5 patients survived for more than 3 years with both legs intact. The state of the distal 'run-off' and the degree of preoperative profunda stenosis appeared to have little influence on the clinical outcome. After operation pedal pulses were restored in 16 per cent of those presenting with claudication. Profundaplasty was without significant effect on the ankle systolic pressure index both in patients with claudication and those with rest pain.
回顾了股深动脉成形术治疗股腘动脉闭塞的长期结果。对50例患者进行了研究，平均随访期为4年（范围6个月至8年）。25例间歇性跛行患者中有5例（20%）症状消失或明显改善；25例静息痛患者中有10例（40%）疼痛缓解，其余患者需要进行大截肢。腰交感神经切除术在两组中均未带来额外益处。静息痛组死亡率较高，只有5例患者存活超过3年且双腿完好。远端“流出道”状态和术前股深动脉狭窄程度似乎对临床结果影响不大。术后，出现间歇性跛行的患者中16%恢复了足背动脉搏动。股深动脉成形术对间歇性跛行患者和静息痛患者的踝收缩压指数均无显著影响。
