Vachev A N, Chernovalov D A, Mikhailov M S
Chair of Faculty Surgery, Samara State Medical University, Samara, Russia.
Angiol Sosud Khir. 2012;18(2):131-7.
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.
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。
