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关于在下肢慢性严重缺血性血管重建成功后进行小截肢手术的条件。

On the terms to perform minor amputations for chronic critical lower limb ischaemia after successful vascular reconstruction.

作者信息

Vachev A N, Chernovalov D A, Mikhailov M S

机构信息

Chair of Faculty Surgery, Samara State Medical University, Samara, Russia.

出版信息

Angiol Sosud Khir. 2012;18(2):131-7.

Abstract

Assessed herein are the results of treating a total of 119 patients presenting with chronic critical ischaemia of the lower extremities accompanied by necrosis of distal portions of the foot. All patients underwent various successful operations of lower-limb revascularization, followed by evaluating the terms of healing of the wounds on the foot after necrectomy and minor amputations. A conclusion was made that after successful limb revascularization for critical ischaemia in patients with atherosclerosis accompanied by coagulative necrosis, performing minor amputations and necrectomies should be delayed.

摘要

本文评估了119例下肢慢性严重缺血伴足部远端坏死患者的治疗结果。所有患者均成功接受了各种下肢血管重建手术,随后评估了坏死切除和小截肢术后足部伤口的愈合情况。得出的结论是,对于伴有凝固性坏死的动脉粥样硬化患者,在成功进行严重缺血肢体血管重建后,应推迟进行小截肢和坏死切除术。

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