深入或回家:评估微血管下肢重建中的静脉排水系统
Imran Rizvi1, Bora Kahramangil1, Ellen Wang1
1Division of Plastic and Reconstructive Surgery, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas, United States.
Journal of reconstructive microsurgery
|October 9, 2025
概括
使用表面静脉进行下肢重建的自由片显示出更高的并发症率. 深静脉排水是首选的,但可以使用表面静脉作为辅助.
科学领域:
- 血管外科 血管外科
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 关于在肢体救援中使用表面与深层静脉用于下肢自由片的共识缺乏.
- 静脉并发症是自由手术中的一个重要问题.
研究的目的:
- 在下肢自由重建中分析与表面和深层静脉瘤相关的静脉并发症风险.
- 为了比较表面,深层和联合静脉排水系统之间的并发症率.
主要方法:
- 对333名接受下肢自由重建的患者 (2016-2024) 的回顾性审查.
- 受体静脉分为深层静脉 (venae comitantes) 或表面静脉 (saphenous).
- 复合静脉并发症 (堵塞,血瘤,) 是主要的结局.
主要成果:
- 总体而言,9.3%的患者出现了静脉并发症.
- 只有表面静脉排水的并发症率 (27.8%) 与深度 (8.6%) 或联合 (4.3%) 相比显著更高.
- 多变量分析表明,表面静脉使用增加了并发症的几率 (OR=4.11).
结论:
- 下肢自由的表面静脉排水与更高的静脉并发症率有关.
- 建议优先考虑深静脉系统,表面静脉被视为附属体.
- 当利用表面静脉用于重建结果时,仔细考虑和选择患者至关重要.
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