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采用股外侧旁路术有效治疗股动脉感染

Effective management of femoral artery infection using lateral femoral bypass.

作者信息

Mukasa Kotaro, Yakita Yasunori, Marushima Ryosuke, Tsuda Musashi, Abe Shinichiro, Asano Soichi

机构信息

Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Mar 4;11(3):101771. doi: 10.1016/j.jvscit.2025.101771. eCollection 2025 Jun.

Abstract

Infections of the groin present significant challenges for both infection control and limb salvage. This case report describes a patient with a history of penile cancer treated with radiation therapy, who developed a femoral artery infection following thromboendarterectomy. A lateral femoral bypass was performed, combined with thorough debridement and reconstruction using a rectus abdominis myocutaneous flap. This approach was effective for wound management, infection control, and revascularization. Although this procedure is rarely performed, it can serve as a valuable option for limb salvage in complex cases involving infection and previous radiation exposure.

摘要

腹股沟感染给感染控制和肢体挽救带来了重大挑战。本病例报告描述了一名有阴茎癌放疗史的患者,在进行血栓内膜剥脱术后发生了股动脉感染。进行了股外侧旁路移植术,并结合使用腹直肌肌皮瓣进行彻底清创和重建。这种方法对伤口处理、感染控制和血管再通有效。尽管这种手术很少进行,但对于涉及感染和既往放疗史的复杂病例,它可作为肢体挽救的一种有价值的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/344f/11999184/8ceb6c1c9b5f/gr1.jpg

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