Arekelian V S, Vasilevskiĭ V P, Kul' E I, Meleshko V V, Pochobut B I
Khirurgiia (Mosk). 1996(2):99-103.
The remote results of 220 reconstructing operations on an aorto-iliofemoral segment have been gathered in this article. The time for this analysis was from 1 year till 5 years after an operation. There were 38.6% of late complications in the study. The atherosclerosis was the cause number 1 (70.7%), neointima hyperplasty was the cause number 2 (14.6%). We also have to mark technical problems (6.7%) and infectious complications (8%). 89 patients had repeated reconstructing operations after from 3 months till 5 years after the first operation. The blood circulation has been restored in 73% of cases. In 22.5% of cases it was necessary to make an amputation. The postoperative mortality was 6.7% with the main cause of infection. The cause and the form of a complication were as important for the kind of an operation as the condition of an arterial vessels and a general patient's status.
本文收集了220例主动脉-髂股段重建手术的远期结果。分析时间为术后1年至5年。研究中晚期并发症发生率为38.6%。动脉粥样硬化是首要原因（70.7%），新生内膜增生是次要原因（14.6%）。我们还必须指出技术问题（6.7%）和感染性并发症（8%）。89例患者在首次手术后3个月至5年进行了再次重建手术。73%的病例血液循环得以恢复。22.5%的病例需要进行截肢。术后死亡率为6.7%，主要原因是感染。并发症的原因和形式对于手术类型而言，与动脉血管状况和患者总体状况同样重要。
