Papp L
Vascular Surgery Office, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW Scotland.
Magy Seb. 2000 Jun;53(3):91-8.
The treatment of chronic critical limb ischaemia (CLI) is a very important and constantly developing field of vascular surgery. The high incidence of CLI (50-100/100,000 inhabitants [10]) means that vascular surgeons at a district general hospital/county hospital, providing care for 250-300,000 people, see about 120-150 cases in a year, 70-75% of them needing elective or acute intervention. We have witnessed many important changes over the last 1-2 decades in the management of this substantial field of vascular surgery. The in situ technique, angioscopically assisted valvulotomy, venous cuffs and A-V fistulae at the distal anastomosis of an infrainguinal bypass, the intraluminal and subintimal angioplasty-technique in hand, graft-surveillance programmes and the more aggressive treatment of graft-infection all provide a potentially better chance for limb salvage. Do we follow the trends and seize them?
慢性严重肢体缺血（CLI）的治疗是血管外科一个非常重要且不断发展的领域。CLI的高发病率（每10万居民中有50 - 100例[10]）意味着，在为25万至30万人提供医疗服务的地区综合医院/县医院，血管外科医生每年会接诊约120 - 150例病例，其中70 - 75%的患者需要择期或急诊干预。在过去的1 - 2十年间，我们见证了这个血管外科重要领域的管理发生了许多重大变化。原位技术、血管镜辅助瓣膜切开术、静脉袖带以及腹股沟下旁路远端吻合处的动静脉瘘、腔内和内膜下血管成形术、移植物监测计划以及对移植物感染更积极的治疗，都为挽救肢体提供了潜在的更好机会。我们是否跟上并抓住这些趋势呢？
