Fujii Miki, Terashi Hiroto
Department of Plastic and Reconstructive Surgery, Critical Limb Ischemia Center, Kitaharima Medical Center, Ono, Hyogo, Japan.
Department of Plastic and Reconstructive Surgery, Kobe University Hospital, Kobe, Hyogo, Japan.
Ann Vasc Dis. 2019 Jun 25;12(2):147-150. doi: 10.3400/avd.ra.19-00036.
For the treatment of patients with critical limb ischemia (CLI), the angiosome concept is essential in revascularization and wound treatment. In this article, we describe how we use the angiosome concept for surgically treating CLI wounds and review some essential reports. For wounds in patients with CLI to heal, both successful revascularization and wound management are crucial. In order to preserve the blood supply as much as possible intraoperatively, surgeons should always consider the angiosome concept.
对于严重肢体缺血（CLI）患者的治疗，血管体概念在血运重建和伤口治疗中至关重要。在本文中，我们描述了如何运用血管体概念手术治疗CLI伤口，并回顾了一些重要报告。对于CLI患者的伤口愈合而言，成功的血运重建和伤口处理都至关重要。为了在术中尽可能保留血供，外科医生应始终考虑血管体概念。
