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[严重缺血时的肢体挽救。我们的经验]

[Limb salvage in critical ischemia. Our experience].

作者信息

Palombo D, Porta C, Brustia P, Peinetti F, Udini M, Antico A, Meloni T, Carbonatto P

机构信息

Unità di Chirurgia Vascolare ed Angiologia, Ospedale Regionale della Valle d'Aosta.

出版信息

Minerva Chir. 1995 Mar;50(3):263-8.

PMID:7659262
Abstract

The aim of this paper is to present our six-year experience in the treatment of critical limb ischaemia, even if in the period (1987-1993) considered the definition of critical ischaemia had been partly reviewed in the publication of the "European Consensus Document on Critical Limb Ischaemia" (March 1989). Two hundred thirty-nine patients have been treated in our Unit for critical limb ischaemia: reconstructive surgery was used in 34% of cases, lumbar sympathectomy or spinal cord stimulation in 17% of cases and pharmacotherapy in 14% of cases. Taking into account arterial and graft patency as well as the percentage of limb salvage, our results were similar to those presented in the literature.

摘要

本文旨在介绍我们在治疗严重肢体缺血方面的六年经验,即便在(1987 - 1993年)这一时期,“欧洲严重肢体缺血共识文件”(1989年3月出版)已对严重缺血的定义进行了部分修订。我们科室共治疗了239例严重肢体缺血患者:34%的病例采用了重建手术,17%的病例采用了腰交感神经切除术或脊髓刺激术,14%的病例采用了药物治疗。综合考虑动脉和移植物通畅情况以及肢体挽救率,我们的结果与文献报道的结果相似。

相似文献

1
[Limb salvage in critical ischemia. Our experience].[严重缺血时的肢体挽救。我们的经验]
Minerva Chir. 1995 Mar;50(3):263-8.
2
The best TcpO(2) parameters to predict the efficacy of spinal cord stimulation to improve limb salvage in patients with inoperable critical leg ischemia.预测脊髓刺激改善无法手术的严重下肢缺血患者肢体挽救疗效的最佳经皮氧分压(TcpO₂)参数。
Int Angiol. 2003 Dec;22(4):356-63.
3
[The role of spinal cord electric stimulation in critical ischemia of the extremity].
Minerva Cardioangiol. 1996 Dec;44(12):663-7.
4
Transcutaneous oxygen tension (TcPO2) in the testing period of spinal cord stimulation (SCS) in critical limb ischemia of the lower extremities.下肢严重肢体缺血脊髓刺激(SCS)测试期的经皮氧分压(TcPO2)
Int Surg. 1999 Apr-Jun;84(2):122-8.
5
Spinal cord stimulation in hemodialysis patients with critical lower-limb ischemia.脊髓刺激在患有严重下肢缺血的血液透析患者中的应用
Am J Kidney Dis. 2006 May;47(5):842-7. doi: 10.1053/j.ajkd.2006.02.172.
6
[Foot revascularization in patients with critical limb ischemia].
Rev Port Cir Cardiotorac Vasc. 2003 Apr-Jun;10(2):75-81.
7
[Treatment of chronic critical ischemia of the lower limbs with spinal cord electrostimulation].
Chir Ital. 1999 Jan-Feb;51(1):53-8.
8
Pedal branch arterial bypass for limb salvage.用于肢体挽救的足部动脉分支搭桥术。
Am Surg. 2002 May;68(5):446-8.
9
Redo bypass surgery to the infrapopliteal arteries for critical leg ischaemia.对严重下肢缺血患者进行腘下动脉搭桥术翻修手术。
Eur J Vasc Endovasc Surg. 2001 Feb;21(2):137-42. doi: 10.1053/ejvs.2000.1290.
10
The five-year results of reconstructive surgery for critical lower limb ischemia.
Angiol Sosud Khir. 2005;11(3):115-22.

引用本文的文献

1
Spinal cord stimulation for non-reconstructable chronic critical leg ischaemia.脊髓刺激治疗不可重建的慢性严重下肢缺血
Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD004001. doi: 10.1002/14651858.CD004001.pub3.