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[腹主动脉内脏分支闭塞性疾病的外科治疗]

[Surgical treatment of occlusive diseases of visceral branches of the abdominal aorta].

作者信息

Pokrovskiĭ A V, Spiridonov A A, Kazanchian P O, Ermoliuk R S

出版信息

Vestn Khir Im I I Grek. 1976 Mar;116(3):3-10.

PMID:942544
Abstract

Sixty two patients having chronic circulatory disorders in visceral branches of the abdominal aorta were operated upon by the authors. An adequate circulation was restored as a result of reconstructive (44), conventionally reconstructive (14) and palliative (4) operations. A number of technics considerably facilitating these complicated reconstructive procedures are described: transaortic endarterectomy from the abdominal aorta, visceral branches and renal arteries: resection of the thoracoabdominal aorta followed by a plastic reconstruction of the celiac trunk ostium and others. In 47 patients (90.3%) a clinical effect was gained: the signs of ischemia of the digestive organs have disappeared.

摘要

作者对62例腹主动脉内脏分支患有慢性循环系统疾病的患者进行了手术。通过重建性手术(44例)、传统重建性手术(14例)和姑息性手术(4例),恢复了足够的血液循环。文中描述了一些极大地便利这些复杂重建手术的技术:经腹主动脉、内脏分支和肾动脉进行经主动脉内膜切除术;切除胸腹主动脉,随后对腹腔干开口进行整形重建等。47例患者(90.3%)获得了临床疗效:消化器官缺血的体征消失。

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