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[治疗主髂动脉闭塞性疾病的手术入路选择]

[Selection of surgical approaches in the treatment of aortoiliac arterial occlusive disease].

作者信息

Wang Y, Fu W, Guo D

机构信息

Zhongshan Hospital, Shanghai Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):394-6.

PMID:9590787
Abstract

31 patients with aortoiliac occlusive disease with or without infrainguinal occlusion was treated with thromboendarterectomies, aortoiliac or aortofemoral arterial bypasses, extra-anatomic bypasses and sequential arterial bypasses in the past 5 years. The results were satisfactory. The surgical mortality was 3.2%, the primary 5-year patent rate was 84.2%, and the secondary 5-year patent rate was 96.5%. We emphasize the value of ABI to indicate arterial reconstruction.

摘要

在过去5年中,31例患有主髂动脉闭塞性疾病(伴或不伴有股动脉以下闭塞)的患者接受了血栓内膜切除术、主髂动脉或主股动脉旁路移植术、解剖外旁路移植术以及序贯动脉旁路移植术治疗。结果令人满意。手术死亡率为3.2%,5年原发性通畅率为84.2%,5年继发性通畅率为96.5%。我们强调踝臂指数(ABI)在指导动脉重建方面的价值。

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