鉴定发生状血管损伤后不良结果的危险因素
John R Layman1, Jaime Benarroch-Gampel2, Jason D Sciarretta3
1Medical College of Georgia Augusta University/University of Georgia Medical Partnership, Athens, GA, USA.
Annals of vascular surgery
|July 27, 2024
概括
肥胖和神经系统缺陷增加了形动脉损伤 (PAI) 患者的截肢风险. 在这些情况下,尾静脉的绑定不会影响肢体救援率.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 脊柱动脉损伤 (PAI) 与高截肢率相关,高达20%.
- 鉴定PAI后重大截肢的危险因素对于改善患者的治疗结果至关重要.
- 同时发生的尾静脉损伤的管理需要进一步的研究.
研究的目的:
- 在一大批患有PAI的患者中确定重大截肢的危险因素.
- 评估修复与绑定同时发生的尾静脉损伤对肢体救援的影响.
主要方法:
- 从2011年到2023年在一级创伤中心对PAI患者的回顾性图表审查.
- 用单变量和多变量评估分析人口统计和临床数据.
- 在患有并发性损伤的患者中,尾静脉修复和结之间的结局的比较.
主要成果:
- 肥胖和抵达时的神经缺陷被确定为PAI患者截肢的显著风险因素.
- 在同时患有骨静脉损伤的患者中,在静脉修复和结之间没有观察到截肢率的显著差异.
- 脊柱静脉绑定没有影响切关闭的持续时间或皮肤移植区域.
结论:
- 患有神经系统缺陷的肥胖患者在PAI之后面临更大的截肢风险.
- 同时发生尾静脉损伤的静脉绑定不会显著影响早期肢体救援率.
- 进一步的研究是有必要的,以建立最佳的管理策略,同时发生尾静脉损伤.
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