J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1585KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(9): 1040-1042, 1992

Report on the annual meeting

PRINCIPLE OF TREATMENT FOR INTERMITTENT CLAUDICATION DUE TO ARTERIOSCLEROSIS OBLITERANS
－RECONSTRUCTION OR CONSERVATIVE TREATMENT－

1) Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan
2) Aoyama Hospital, Aichi, Japan

Takashi Hachiya1), Hiroshi Kaneko1), Anna Shiraishi1), Naoki Unno1), Shozo Baba1), Shukichi Sakaguchi1), Kenichi Koyano2)

Materials and methods : Two hundred and one patients of arteriosclerosis obliterans (ASO) with intermittent claudication (IC) were studied. Improvement of IC, score of return to social life, change of life condition and prognosis were compared between the two groups of reconstructive and conservative treatment.
Results : Improvement of IC was seen in 88.0% of the patients in the group of recostruction and only 30.4% in the conservative treatment group. In the reconstructive group, th e score of return to social life improved from 2.10 to 1.31 and the score of life condition also improved from 2.71 to 1.66. However in the conservative treatment group these score showed no significant improvement. Moreover the long term mortality rate was lower in the treatment group of reconstruction.
Conclusion : The arterial reconstruction for IC is significant for improving the quality of life and exerts a favorable effect on life prognosis.

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