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[主-髂动脉段重建干预后的长期结果]

[Long-term outcome after reconstructive interventions of the aorto-iliac segment].

作者信息

Kirsch D, Rechenberg A, Böttger T, Junginger T

机构信息

Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.

出版信息

Langenbecks Arch Chir. 1997;382(1):49-54.

PMID:9157232
Abstract

From September 1985 to February 1994, 183 patients (arterial occlusive disease n = 108, abdominal aneurysm n = 75) underwent reconstruction of the abdominal aorta. In 120 patients an aorto-bi-iliac or aorto-bi-femoral reconstruction was performed and in 63 patients a tube-type reconstruction. The early and late postoperative complications are described. The complications were dependent on the choice of graft, the distal anastomosis and the preoperative risk factors. The mortality from elective repairs was compared with the mortality in emergency repairs. The role of endovascular reconstructive surgery in comparison to conventional reconstructive procedures is discussed.

摘要

1985年9月至1994年2月,183例患者(动脉闭塞性疾病n = 108,腹主动脉瘤n = 75)接受了腹主动脉重建术。120例患者进行了主动脉-双侧髂动脉或主动脉-双侧股动脉重建,63例患者进行了管状重建。描述了术后早期和晚期并发症。并发症取决于移植物的选择、远端吻合以及术前危险因素。将择期修复的死亡率与急诊修复的死亡率进行了比较。讨论了血管内重建手术与传统重建手术相比的作用。

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