Celoria G, Falco E, Nardini A, Gadducci G, Stefani R, Neviani A L
II Divisione di Chirurgia Generale, Ospedale Sant'Andrea, La Spezia.
Minerva Chir. 1994 May;49(5):429-31.
Infected vascular grafts are associated with very high rates of limb loss and mortality. "Classic" treatment has invariably included graft excision. Recent reports have suggested that a more conservative approach may be indicated in selected cases, leaving the graft in place and using an aggressive local treatment associated with appropriate intravenous antibiotics. The authors report their experience with two patients with infected prosthetic vascular grafts in the groin. They both had purulent drainage from the groin wound, with the graft exposed close to the femoral anastomosis. They were both treated successfully without graft removal, and both graft maintained patency, with a follow-up of 22 and 19 months.
感染的血管移植物与极高的肢体丧失率和死亡率相关。“经典”治疗方法一直包括移植物切除。最近的报告表明，在某些特定病例中可能需要采取更保守的方法，保留移植物并采用积极的局部治疗并联合使用适当的静脉抗生素。作者报告了他们对两名腹股沟部感染人工血管移植物患者的治疗经验。两名患者腹股沟伤口均有脓性引流，移植物在靠近股动脉吻合处暴露。两名患者均未移除移植物而成功治愈，且两个移植物均保持通畅，随访时间分别为22个月和19个月。
