Permiakov N K, Butenin A M, Zatevakhin I I
Arkh Patol. 1985;47(5):38-41.
Widespread muscle alterations in the form of partial or full muscle fiber replacement by the fibrofatty tissue within the borders of the fascial sheath with the retention of the volume and topography of the muscles are observed in the obliterating atherosclerosis of the lower limbs arteries. These alterations are connected with a slowly progressing degenerative process due to chronic ischemia. The limb with a fibrofatty replacement (FFR) of the muscles is more resistant to the gangrene resulting from acute occlusion of the main arteries. The FFR should be correctly interpreted and considered when acute arterial occlusion of the lower limbs is diagnosed.
在下肢动脉闭塞性动脉粥样硬化中,可观察到广泛的肌肉改变,表现为在筋膜鞘边界内的肌肉纤维被纤维脂肪组织部分或完全替代,同时肌肉的体积和形态得以保留。这些改变与慢性缺血导致的缓慢进展性退行性过程有关。肌肉发生纤维脂肪替代(FFR)的肢体对主要动脉急性闭塞导致的坏疽更具抵抗力。当下肢急性动脉闭塞被诊断时,应正确解读并考虑FFR。