外围动脉损伤管理的趋势:五年全国分析
Francisco Castillo-Diaz1, Mohammad Al Ma'ani1, Muhammad Haris Khurshid1
1Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of surgical research
|July 22, 2025
概括
周围动脉损伤很复杂,近三分之一的病例是由不的机制造成的. 开放式修复是首选的,但在创伤中心体积中,结果是相似的,这突出了改善开放式修复培训的需要.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 外科手术的结果
背景情况:
- 周围血管损伤具有显著的发病率和长期并发症.
- 了解高人数创伤中心的管理趋势对于改善患者的治疗结果至关重要.
研究的目的:
- 分析对外围动脉损伤的管理趋势.
- 根据创伤中心的体积来比较血管损伤的结果.
主要方法:
- 美国外科医生学院创伤质量改善计划数据库 (2017-2021) 的回顾性分析.
- 包括患有外围动脉损伤的患者进行开放或内血管修复.
- 根据受伤病例,创伤中心的分层分为低,中和高容量.
主要成果:
- 在340个创伤中心共分析了22,057名患者.
- 开放式修复 (63%) 比内血管修复 (13%) 更常见,随着时间的推移,内血管手术的数量略有增加.
- 截肢率在低,中,高体积中心 (2.5%-3%) 均相似.
结论:
- 周围动脉损伤,通常是原始的,仍然是一个重大的临床挑战.
- 开放性维修是占主导地位的管理策略,尽管结果并没有因中心数量而有显著差异.
- 建议加强对血管损伤的开放修复技术的培训.
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