膝下截肢术中最低可触及脉搏与伤口愈合之间的关联。
The association between lowest palpable pulse and wound healing in below knee amputations.
作者信息
O'Dwyer K J, Edwards M H
出版信息
Ann R Coll Surg Engl. 1985 Jul;67(4):232-4.
Abstract
A retrospective study of 191 patients undergoing 203 Burgess type below knee amputations for end-stage peripheral vascular disease showed that the only clinical feature which associated significantly with wound healing was the lowest palpable pulse. The pulse level was noted preoperatively and was compared with the healing rates in the amputation stumps. When the femoral pulse was absent, 79% of below knee amputations failed. When the femoral pulse was palpable, only 29% wound breakdown occurred. When the popliteal or more distal pulses were palpable, only 10% failure was recorded.
摘要
一项对191例因终末期外周血管疾病接受203次膝下伯吉斯（Burgess）型截肢手术患者的回顾性研究表明，与伤口愈合显著相关的唯一临床特征是可触及的最低脉搏。术前记录脉搏水平，并将其与截肢残端的愈合率进行比较。当股动脉搏动消失时，79%的膝下截肢手术失败。当股动脉搏动可触及，仅有29%的伤口出现裂开。当腘动脉或更远处的脉搏可触及，记录的失败率仅为10%。
相似文献
1
The association between lowest palpable pulse and wound healing in below knee amputations.膝下截肢术中最低可触及脉搏与伤口愈合之间的关联。
Ann R Coll Surg Engl. 1985 Jul;67(4):232-4.
2
Level selection in leg amputation for arterial occlusive disease: a comparison of clinical evaluation and skin perfusion pressure.动脉闭塞性疾病下肢截肢的平面选择：临床评估与皮肤灌注压的比较
Acta Orthop Scand. 1982 Oct;53(5):821-31. doi: 10.3109/17453678208992300.
3
Influence of failed vascular bypass procedures on conversion of below-knee to above-knee amputation levels.
Surgery. 1982 Jan;91(1):64-9.
4
The association between lowest palpable pulse and wound healing in below knee amputations.膝下截肢术中最低可触及脉搏与伤口愈合之间的关联。
Ann R Coll Surg Engl. 1986 Jan;68(1):56.
5
Predicting stump healing following amputation for peripheral vascular disease using the transcutaneous oxygen monitor.使用经皮氧监测仪预测外周血管疾病截肢术后残端愈合情况。
Ann R Coll Surg Engl. 1987 Jan;69(1):31-5.
6
Effectiveness of combined superficial femoral artery endovascular therapy with popliteal-to-distal bypass: A paradigm shift in surgical open bypass for chronic limb-threatening ischemia.股浅动脉腔内治疗联合腘动脉至远端旁路移植术的有效性：慢性肢体威胁性缺血手术开放旁路移植术的范式转变。
Vascular. 2021 Dec;29(6):905-912. doi: 10.1177/1708538120981224. Epub 2020 Dec 21.
7
A prospective randomized comparison of healing in Gritti-Stokes and through-knee amputations.格里蒂-斯托克斯截肢术与经膝截肢术愈合情况的前瞻性随机对照研究。
Ann R Coll Surg Engl. 1987 Jan;69(1):1-4.
8
Cause of wound complications in elderly patients with above-knee amputation.膝上截肢老年患者伤口并发症的原因
Am J Surg. 1982 Apr;143(4):523-7. doi: 10.1016/0002-9610(82)90207-0.
9
Staged below-knee amputations for septic peripheral lesions due to ischaemia.
Br J Surg. 1986 May;73(5):392-4. doi: 10.1002/bjs.1800730527.
10
Bare nitinol stent enabled recanalization of long-segment, chronic total occlusion of superficial femoral and adjacent proximal popliteal artery in diabetic patients presenting with critical limb ischemia.裸镍钛合金支架使患有严重肢体缺血的糖尿病患者的股浅动脉和相邻腘动脉近端的长段慢性完全闭塞实现再通。
Cardiovasc Revasc Med. 2010 Oct-Dec;11(4):232-5. doi: 10.1016/j.carrev.2009.10.002.
引用本文的文献
1
A Series of 210 Peripheral Arterial Disease Below-Knee Amputations and Predictors for Subsequent Above-Knee Amputations.210例膝下外周动脉疾病截肢病例系列及后续膝上截肢的预测因素
Ann Vasc Dis. 2017 Sep 25;10(3):217-22. doi: 10.3400/avd.oa.17-00046.
2
Functional outcome after redo below-knee amputation.膝下再次截肢后的功能结局。
World J Surg. 2008 Aug;32(8):1823-6. doi: 10.1007/s00268-008-9500-5.
3
An analysis of risk factors associated with failure of below knee amputations.
World J Surg. 2006 Jun;30(6):1081-7. doi: 10.1007/s00268-005-0737-y.
4
Predicting stump healing following amputation for peripheral vascular disease using the transcutaneous oxygen monitor.使用经皮氧监测仪预测外周血管疾病截肢术后残端愈合情况。
Ann R Coll Surg Engl. 1987 Jan;69(1):31-5.
本文引用的文献
1
Gritti-Stokes amputation for atherosclerotic gangrene.用于治疗动脉粥样硬化性坏疽的格里蒂-斯托克斯截肢术。
Lancet. 1962 Jul 7;2(7245):16-20. doi: 10.1016/s0140-6736(62)92932-x.
2
Below-knee amputation in arteriosclerotic gangrene.动脉硬化性坏疽的膝下截肢术
Br J Surg. 1956 Jul;44(183):13-7. doi: 10.1002/bjs.18004418305.
3
Prediction of amputation wound healing. Roles of Doppler ultrasound and digit photoplethysmography.
Arch Surg. 1981 Jan;116(1):80-3. doi: 10.1001/archsurg.1981.01380130056013.
4
The role of vascular laboratory criteria in the selection of patients for lower extremity amputation.血管实验室标准在下肢截肢患者选择中的作用。
Ann Surg. 1982 Apr;195(4):469-73. doi: 10.1097/00000658-198204000-00014.
5
Determining amputation levels in peripheral vascular disease.
J Bone Joint Surg Am. 1981 Dec;63(9):1493-7.
6
The fate of the below knee amputee.膝下截肢者的命运。
Ann R Coll Surg Engl. 1983 Jul;65(4):230-2.
7
Sites of amputation election according to modern practice.根据现代实践的截肢部位选择
Clin Orthop Relat Res. 1964 Nov-Dec;37:17-22.
8
Below-the-knee amputation for arteriosclerosis obliterans, with and without diabetes mellitus.
Arch Surg. 1969 Jan;98(1):77-80. doi: 10.1001/archsurg.1969.01340070095018.
9
Below- and through-knee amputations in ischaemic disease.
Br J Surg. 1971 Nov;58(11):824-6. doi: 10.1002/bjs.1800581105.
10
The "geriatric" amputee.“老年”截肢者。
Ann Surg. 1972 Sep;176(3):305-14. doi: 10.1097/00000658-197209000-00006.
Zotero 插件