Ikeda Kanae, Yotsuyanagi Takatoshi, Arai Koshiro, Suda Tetsuya, Saito Tamotsu, Ezoe Kyori
Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Ann Vasc Surg. 2012 Apr;26(3):422.e5-8. doi: 10.1016/j.avsg.2011.06.018. Epub 2012 Jan 27.
Buerger disease is a limb-threatening condition occurring in young smokers, and its treatment has been a challenging problem, although a large number of medical and surgical options have been suggested. Combined surgery for revascularization and free-tissue transfer for Buerger disease is an aggressive and attractive option. This complex surgery enables successful treatment of tissue loss caused by ischemia. We performed revascularization and free-tissue transfer to the critically ischemic limb in a patient with Buerger disease. In this case, the procedure is attempted to salvage a limb from amputation.
血栓闭塞性脉管炎是一种发生在年轻吸烟者中的肢体威胁性疾病，尽管已经提出了大量的药物和手术治疗方案，但其治疗一直是一个具有挑战性的问题。针对血栓闭塞性脉管炎的血管重建联合游离组织移植手术是一种积极且有吸引力的选择。这种复杂的手术能够成功治疗由缺血引起的组织缺损。我们对一名血栓闭塞性脉管炎患者的严重缺血肢体进行了血管重建和游离组织移植。在这种情况下，尝试通过该手术保住肢体不被截肢。
