Chloros George D, Li Zhongyu, Koman L Andrew
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Hand Surg Am. 2008 Sep;33(7):1048-51. doi: 10.1016/j.jhsa.2008.02.026.
The management of unreconstructible vascular lesions in the hand is a challenge with limited options for treatment. After 22 years of hand ischemia, involving management with reverse interpositional vein grafting, periarterial sympathectomy, and partial finger amputations, a 62-year-old man underwent arterialization of the venous system of the hand for unreconstructible distal vascular lesions as a salvage procedure. At 7-year follow-up, the patient is pain-free with good functional and health-related quality of life outcomes and no further amputations. This procedure may be considered as a salvage alternative to prevent additional amputation in selected patients.
手部不可重建的血管病变的治疗是一项挑战，治疗选择有限。一名62岁男性在经历了22年的手部缺血，包括采用静脉逆行移植、动脉周围交感神经切除术和部分手指截肢等治疗后，因手部远端血管病变不可重建，接受了手部静脉系统动脉化手术作为挽救措施。在7年的随访中，患者无痛，功能良好，与健康相关的生活质量结果良好，且未进行进一步截肢。对于选定的患者，该手术可被视为一种挽救性替代方案，以防止额外的截肢。
