周围假肢血管移植感染:一个5年的回顾性研究
Giovanni De Caridi1, Mafalda Massara2, Chiara Barilla1
1Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università di Messina, 98122 Messina, Italy.
Medical sciences (Basel, Switzerland)
|June 25, 2025
概括
外围假肢血管移植感染是严重的并发症. 积极的局部治疗,包括排水和脱bridement,可以提供更好的肢体救援率比完整的移植移除在选定的患者.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 再生医学是一种再生医学.
背景情况:
- 外围假体血管移植感染是下肢再血管化的严重并发症,与截肢和死亡率高相关.
- 了解这些感染的发生率和结果对于改善患者管理至关重要.
研究的目的:
- 为了确定一个机构中假肢移植感染,截肢和死亡率的发生率.
- 分析对假肢移植感染的不同治疗策略的有效性.
主要方法:
- 对接受外周假体旁路移植的患者进行回顾性队列审查.
- 评估患者的人口统计,并发症,移植材料和治疗结果.
- 对感染率,截肢率和死亡率的分析.
主要成果:
- 在516次 बाईपास中,196次是假肢. 8.2%的假肢移植发生了感染.
- 受感染的移植物经过移除 (68.9%) 或保守方法 (31.1%) 的处理.
- 更高风险的相关因素包括回复旁路,活跃感染和晚期瘤. 肢体救援率因治疗方法而异.
结论:
- 重复绕道,活跃感染和晚期瘤增加了假肢移植感染和重大截肢的风险.
- 虽然移植摘除和替换是典型的,但在某些特定情况下,积极的局部治疗可能会产生优质肢体的挽救.
- 选择的患者可能会从保守的管理中受益,包括排水,脱bridement和真空辅助关闭,避免移植移除.
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