Gibbons G W, Freeman D
Clin Podiatr Med Surg. 1987 Apr;4(2):377-81.
Vascular reconstruction in the diabetic is not recommended for the occasional vascular surgeon. In general, diabetics are higher operative risk patients and the majority are undergoing revascularization because of severe ischemia associated with a limb-threatening foot infection. The success of each of our series represents a team approach with careful preoperative screening and intraoperative monitoring as well as a meticulous and precise operative technique. The diabetic's predilection for distal arterial occlusive disease, more extensive calcification, and poor collateral formation require the maximum skill and experience of the operating surgeon. The results support a continued aggressive approach to revascularization of the ischemic diabetic extremity.
对于偶尔从事血管外科手术的医生而言，不建议为糖尿病患者进行血管重建手术。一般来说，糖尿病患者属于手术风险较高的群体，大多数患者因与威胁肢体的足部感染相关的严重缺血而接受血管重建手术。我们每个系列的成功都代表了一种团队协作方式，包括仔细的术前筛查、术中监测以及细致精确的手术技术。糖尿病患者易患远端动脉闭塞性疾病、钙化更为广泛且侧支形成不佳，这就需要主刀医生具备最高水平的技能和经验。这些结果支持对缺血性糖尿病肢体继续采取积极的血管重建方法。
