作为膝盖以上截肢的预测者,内动脉的动性 茎愈合 茎愈合
Karthigesu Aimanan1, Lynette Loi1, Putera Mas Pian1
1Department of Surgery, Hospital Kuala Lumpur, Ministry of Health, Kuala Lumpur, Malaysia.
Annals of vascular surgery
|November 4, 2023
概括
内动脉的通透性不会影响膝盖以上截肢的愈合. 然而,伤口,缺血和足部感染 (WIfI) 评分是这些患者死亡率的重要预测指标.
科学领域:
- 血管外科 血管外科
- 截肢结果的结果
- 临床预测工具 临床预测工具
背景情况:
- 评估内动脉 (IIA) 穿透度,以预测膝盖以上截肢 (AKA) 茎愈合.
- 评估伤口,缺血和足部感染 (WIfI) 分类系统在预测AKA茎愈和死亡率方面的准确性.
研究的目的:
- 确定内动脉穿透在AKA树愈合中的作用.
- 验证WIfI得分对木茎愈合和AKA后死亡率的预测准确性.
主要方法:
- 对90名接受AKA治疗一年的患者进行了回顾性研究.
- 收集了关于人口统计,WIfI分数,截肢结果和深骨骨/IIA透度的数据.
- 一个血管外科医生对CT成像和动脉测量的标准化审查.
主要成果:
- IIA透视度没有显著影响AKA木伤口愈合,当大腿深部是透视的.
- 在WIfI得分和死亡率之间发现了显著的关联.
- 与正常愈合 (80.0%;P=0.021) 患者相比,WIfI分数为3-4的患者的死亡率 (72.0%) 更高.
结论:
- 虽然研究规模有限,但IIA通透性似乎不会影响AKA树愈合.
- WIfI得分是接受AKA.患者死亡率的有价值的预后因素.
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