在急性四肢缺血症后的上肢再血管化的结果
Diane Jo1, Fuad Abbas1, Christopher Jou1
1Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH.
The Journal of hand surgery
|September 24, 2025
概括
上肢急性肢体缺血 (ALI) 的并发症率很高. 预防性纤维切割可能会增加ALI患者的风险,但没有明显的益处.
科学领域:
- 血管外科 血管外科
- 紧急医疗 紧急医疗
- 临床结果研究研究
背景情况:
- 急性四肢缺血 (ALI) 是一种关键的血管疾病,需要立即诊断和干预.
- 上肢ALI在发病率,临床表现和患者结果方面存在独特的挑战.
研究的目的:
- 为了确定上肢ALI的发病率,临床表现和结果.
- 分析患者风险因素对ALI结果的影响.
- 评估在上肢ALI中预防性断层切除术的疗效和风险.
主要方法:
- 对366名因ALI而接受上肢再血管化的患者的回顾性审查 (2003-2023年).
- 纳入标准:缺血持续时间小于14天.
- 数据分析包括人口统计,危险因素,缺血持续时间,表现,病因,住院和并发症.
主要成果:
- 患者的平均年龄为65岁,其中69.7%为女性. 常见的原因是栓塞 (21.5%) 和阳性损伤 (29.3%).
- 最常见的是手臂动脉封闭 (89%). 平均缺血时间为12小时.
- 在21.9%的患者中出现并发症. 预防性纤维切割 (3%) 没有减少缺血时间,并且与更多的并发症有关.
结论:
- 上肢ALI重血管化与显著的并发症率有关.
- 缺血持续时间与症状严重程度相关,但不一定是并发症或住院.
- 由于潜在的风险增加和缺乏证明的益处,在上肢ALI中进行例行预防性断层切除是有问题的.
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