Shenaq S M, Dinh T A
Division of Plastic Surgery, Baylor College of Medicine, Houston, TX 77030.
Microsurgery. 1989;10(4):310-4. doi: 10.1002/micr.1920100410.
Vascular bypass has been a successful procedure for the salvage of ischemic limbs. Amputation after vascular bypass procedures alone is common when extensive ulceration, osteomyelitis, or bone-tendon exposure is present, especially in the diabetic patient. We report two patients in whom the foot was salvaged by microsurgical free flap after revascularization with bypass grafting. Both patients are diabetic who presented with severe arteriolosclerotic foot, associated with extensive ulceration as well as bone and tendon exposure.
血管搭桥术一直是挽救缺血肢体的成功手术。当存在广泛溃疡、骨髓炎或骨-肌腱外露时，仅行血管搭桥术后截肢很常见，尤其是在糖尿病患者中。我们报告了两名患者，他们在通过搭桥移植实现血运重建后，通过显微外科游离皮瓣保住了足部。两名患者均为糖尿病患者，表现为严重的动脉硬化性足部病变，伴有广泛溃疡以及骨和肌腱外露。
