在外周血管疾病中动脉化的解剖学序列及其对自由重建的影响
John M Felder1, Kenan Tawaklna2, Emmanuel Nageeb1
1Oakland University William Beaumont School of Medicine, Royal Oak, MI, United States.
概括
在外周血管疾病 (PVD) 中,动脉化从下肢向上进展. 由于较低的化率,骨下系统片对于肢体救援比大腿式片更安全.
科学领域:
- 血管外科 血管外科
- 重建性手术是一种重建性手术.
- 周围血管疾病 周围血管疾病
背景情况:
- 周围血管疾病 (PVD) 由于动脉化而使下肢 (LE) 自由组织转移 (FTT) 复杂化.
- 化可以影响脚和受体血管.
- 在常见的脚骨中,解剖学序列和化的发生率仍然未经检查.
研究的目的:
- 在接受LE FTT的患者中调查动脉化的解剖进展.
- 为了识别受化影响的常见脚.
- 开发一个预测工具,用于脚的化.
主要方法:
- 在接受LE FTT的PVD患者中使用计算机断层扫描 (CT) 和X射线 (XR) 影像.
- 使用心血管分析软件,量化了体积在脚上.
- 一个新的评分系统 (Qual Calc) 是基于平脚XR发现而开发的.
主要成果:
- 与LE踏板相比,树干踏板 (下) 的化率和体积明显较低.
- 最常见的LE脚是化,特别是侧侧大腿环动脉.
- 高卡尔克得分准确地预测了上肢和下肢板中的量化量.
结论:
- 动脉化在解剖学上从下肢向胸部发展.
- 骨下系统板受化的影响较小,为血管病患者的肢体救援提供了比大腿式板更安全的选择.
- 简单的足部X射线可以可靠地预测脚的化.
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