Adeoye P O, Adebola S O, Adesiyun O A M, Braimoh K T
Department of Surgery, University of Ilorin Teaching Hospital, Nigeria.
Afr Health Sci. 2011 Sep;11(3):433-7.
Data on peripheral vascular surgical interventions from Nigeria is scanty. Reports form Western and Eastern Nigeria dates back about two decades. This study therefore analyses the various etiological conditions necessitating intervention, and their outcome.
A retrospective analysis of patients requiring surgical intervention on peripheral vessels from a prospectively collected single surgeon database over a two-year period was conducted. Data were analysed using SPSS version 15.0 windows statistical package.
Fourteen peripheral vascular surgical procedures were performed. The age range was 2-70 years (24.4 ± 16.3) with five cases (35.7%) in 20-29 year group. Trauma accounted for 11 (73.3%) cases. Upper limb involvement occurred in 7 (63.6%) of the traumatic cases whereas all 2 true aneurysm occurred in the lower limb. Direct repair was possible in re-establishing anatomic continuity in about 64% of cases. Of the six morbidities, wound infection accounted for 50% followed by failure of re-vascularizaton (33.3%) and there was one mortality.
Trauma is the leading cause of peripheral vascular condition necessitating surgery from our study. Young adults predominate. Though direct repair are often feasible, there is a need for the availability of graft options. Wound infection constitutes the highest post-operative morbidity.
来自尼日利亚的外周血管外科手术干预数据匮乏。来自尼日利亚西部和东部的报告可追溯到大约二十年前。因此，本研究分析了需要进行干预的各种病因情况及其结果。
对在两年期间从一个前瞻性收集的单一外科医生数据库中需要对外周血管进行手术干预的患者进行回顾性分析。使用SPSS 15.0 for Windows统计软件包进行数据分析。
共进行了14例外周血管外科手术。年龄范围为2至70岁（24.4±16.3），其中20至29岁年龄组有5例（35.7%）。创伤占11例（73.3%）。7例（63.6%）创伤病例累及上肢，而2例真性动脉瘤均发生在下肢。约64%的病例能够通过直接修复重建解剖连续性。在六种并发症中，伤口感染占50%，其次是血管再通失败（33.3%），有1例死亡。
根据我们的研究，创伤是需要进行外周血管手术的主要病因。以年轻人为主。尽管直接修复通常可行，但需要有移植选择。伤口感染是术后发病率最高的并发症。
