Neugodov Iu V, Safonov V A
Vestn Khir Im I I Grek. 1984 Nov;133(11):108-10.
Experience with the conservative and operative treatment of suppurations around vascular prostheses in 16 patients is presented. Spread of the purulent inflammation around prostheses from the place of primary suppuration on the femur up to the portions proximal to the inguinal ligament was taking place within the first 1-2 weeks after the appearance of the first symptoms of suppuration. Partial resection of infected portions of the prostheses and substitution of them by autovenous grafts are thought to be more expedient within these terms. Such operations are less traumatic and technically more simple than interventions associated with a complete ablation of aorto-femoral prostheses and a simultaneous substitution of them by new vascular prostheses or transplants.
本文介绍了16例血管假体周围化脓性感染的保守治疗和手术治疗经验。在出现化脓的最初症状后的1 - 2周内，假体周围的脓性炎症从股骨原发化脓部位蔓延至腹股沟韧带近端部分。在这段时间内，对假体感染部分进行部分切除并用自体静脉移植物替代被认为更为合适。与完全切除主-股动脉假体并同时用新的血管假体或移植物替代相比，此类手术创伤较小且技术上更为简单。
