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腘静脉至胫部原位大隐静脉旁路移植术用于糖尿病患者肢体挽救

Popliteal-to-tibial in situ saphenous vein bypass for limb salvage in diabetic patients.

作者信息

Rhodes G R, Rollins D, Sidawy A N, Skudder P, Buchbinder D

出版信息

Am J Surg. 1987 Aug;154(2):245-7. doi: 10.1016/0002-9610(87)90191-7.

DOI:10.1016/0002-9610(87)90191-7
PMID:3631400
Abstract

This study has summarized our results with popliteal-tibial in situ saphenous vein bypass in 26 patients, 25 of whom were diabetic, over a 2 year period. Both above- and below-knee popliteal inflow sites were used for bypass of limb-threatening ischemia. Distal calf or pedal outflow sites were required in all but two patients who had sequential bypass performed to tibial sites. Postoperative ankle-brackial indices were calculated. Eleven patients had transcutaneous mapping surrounding the pedal skin envelope injuries. The mean lowest and highest transcutaneous oxygen values have been reported as a guide to successful healing.

摘要

本研究总结了我们在2年时间里对26例患者行腘-胫原位大隐静脉旁路移植术的结果,其中25例为糖尿病患者。膝上和膝下腘动脉流入部位均用于肢体威胁性缺血的旁路移植。除2例行胫部序贯旁路移植术的患者外,其余所有患者均需要小腿远端或足部流出部位。计算术后踝肱指数。11例患者对足部皮肤包膜损伤周围进行了经皮测氧。已报告平均最低和最高经皮氧值,作为成功愈合的指导。

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Popliteal-to-tibial in situ saphenous vein bypass for limb salvage in diabetic patients.腘静脉至胫部原位大隐静脉旁路移植术用于糖尿病患者肢体挽救
Am J Surg. 1987 Aug;154(2):245-7. doi: 10.1016/0002-9610(87)90191-7.
2
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Staged infrainguinal revascularization: initial prosthetic above-knee bypass followed by a distal vein bypass for recurrent ischemia. A valid concept for extending limb salvage?分期腹股沟下血管重建术:先进行人工血管膝上搭桥,随后进行远端静脉搭桥以治疗复发性缺血。这是延长肢体挽救的有效概念吗?
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Salvage of ischemic diabetic feet: role of transcutaneous oxygen mapping and multiple configurations of in situ bypass.缺血性糖尿病足的挽救治疗:经皮氧分压测定及原位旁路多种术式的作用
Am J Surg. 1986 Aug;152(2):165-71. doi: 10.1016/0002-9610(86)90235-7.

引用本文的文献

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Outcomes of Popliteal-To-Distal Bypass Combined with Femoropopliteal Artery Endovascular Treatment for Critical Limb Ischemia.腘动脉至远端旁路联合股腘动脉血管腔内治疗严重肢体缺血的疗效
Ann Vasc Dis. 2017 Sep 25;10(3):223-8. doi: 10.3400/avd.oa.17-00049.
2
Examination of Difference in the Proximal Anastomotic Site for Crus, Ankle Bypass: Common Femoral Artery vs Below the Knee Popliteal Artery.股腘动脉转流术中近端吻合部位差异的研究:股总动脉与膝下腘动脉对比
Ann Vasc Dis. 2012;5(1):30-5. doi: 10.3400/avd.oa.10.00007. Epub 2011 Dec 22.
3
'Diabetic tibial disease': the case for revascularisation.
“糖尿病性胫骨疾病”:血管再通的病例
Ann R Coll Surg Engl. 1993 Mar;75(2):133-6.