Karakaş M, Baba M, Aksungur V L, Memişoglu H R, Aksungur E H, Denli Y G, Karakaş P
J Eur Acad Dermatol Venereol. 2002 Sep;16(5):438-40. doi: 10.1046/j.1468-3083.2002.00560.x.
A few cases of onset of cellulitis after saphenous venectomy for coronary by-pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the dinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy for coronary by-pass surgery. In all the subjects the cellulitis originated at the scar of the saphenous venectomy, and most presented ill-defined, mildly erythematous, slightly oedematous lesions. Mycologically confirmed tinea pedis was found in 25 subjects. All the patients responded well to penicillins or cephalosporins. In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage.
1982年，巴杜尔和比斯诺首次报告了几例冠状动脉搭桥手术隐静脉切除术后发生蜂窝织炎的病例。我们回顾了31例在我科接受随访的患者的临床特征，这些患者在冠状动脉搭桥手术隐静脉切除术后出现蜂窝织炎表现。所有患者的蜂窝织炎均起源于隐静脉切除术的瘢痕，大多数表现为边界不清、轻度红斑、轻度水肿的病变。25例患者经真菌学证实患有足癣。所有患者对青霉素或头孢菌素反应良好。在本报告中，我们根据所回顾病例的临床特征对隐静脉切除术这一并发症的发病机制进行了评论。我们认为，隐静脉切除术可能会破坏小腿内侧大隐静脉附近的淋巴管，因此侵入皮肤的微生物很容易在淋巴引流受损的区域引起蜂窝织炎。
