Gavrilenko A V, Sandrikov V A, Svirshchevskiĭ E B, Omarzhanov O A
Angiol Sosud Khir. 2009;15(3):43-8.
Presented herein is a new technique of studying the competence of the microcirculatory bed and viability of appendicular tissues in patients suffering from lower limb critical ischaemia. The competence of the resistive link of microcirculation was determined by means of dynamic scintigraphy based on studying the primary passage of an internally administered radiopharmaceutical along the microcirculatory system. Accumulation of the radiopharmaceutical with an affinity for the sites of necrosis and inflammation was recorded by means of stationary scintigraphy. Based on the findings obtained in studying the outcomes of surgical management of 105 of the 123 examined patients presenting with lower limb critical ischaemia, criteria for microcirculatory competence and viability of the lower extremities were worked out. Reliable significance of these two criteria in assessing the efficacy of the outcomes of various types of revascularizations and amputations was determined.
本文介绍了一种研究下肢严重缺血患者微循环床功能和肢体组织活力的新技术。微循环阻力环节的功能通过动态闪烁扫描法测定，该方法基于研究经静脉注射的放射性药物在微循环系统中的初始通过情况。通过静态闪烁扫描记录对坏死和炎症部位具有亲和力的放射性药物的蓄积情况。根据对123例接受检查的下肢严重缺血患者中的105例手术治疗结果的研究结果，制定了下肢微循环功能和活力的标准。确定了这两个标准在评估各种类型血管重建和截肢手术效果方面的可靠意义。
