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[干预性再血管化结合穿孔器复合板,用于分阶段治疗带有脚软组织缺陷的外周动脉疾病]

Xiaoguang Guo¹, Zhiguo Wang¹, Zheng Kang¹

¹Department of Bone and Joint Infection, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang Henan, 471000, P. R. China.

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery

|December 15, 2025

概括

这项研究表明,将干预重血管化与穿孔器复合片结合起来,可以有效治疗外围动脉疾病 (PAD) 和脚软组织缺陷. 这种两阶段的方法可以改善血液流动,促进伤口愈合,从而改善患者的治疗效果.

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.
整形外科手术整形外科手术

背景情况:

周围动脉疾病 (PAD) 通常导致严重的下肢并发症,包括软组织缺陷.
由于血液供应受损,PAD患者的脚软组织缺陷存在复杂的挑战.
传统的治疗方法可能无法充分解决血管衰竭和组织损失.

研究的目的:

评估PAD与脚软组织缺陷的两阶段治疗策略的有效性.
评估干预性复血管化和穿孔器复合手术的组合.
确定对下肢输液,伤口愈合和功能结果的影响.

主要方法:

一组12名患有PAD和脚软组织缺陷的患者接受了分阶段治疗.
第一个阶段涉及干预性血管恢复,以恢复动脉血流.
第二阶段使用穿孔器复合来进行软组织重建.

主要成果:

在重血管化后,脚-手臂指数 (ABI) 从0.32显著增加到0.71 (P<0.001).
穿孔器复合板在10-14天内成功地实现了生存和伤口愈合.
视觉模拟尺度 (VAS) 疼痛评分显著下降,美国整形足和脚学会 (AOFAS) 评分表明治疗后脚功能很好.

结论:

经过分阶段的干预再血管化,然后再进行穿孔器复合重建,对于脚软组织缺陷的PAD是有效的.
这种综合方法成功地改善了下肢的血液供应,并提高了片的存活率.
治疗策略导致显著的疼痛减轻和关节的功能恢复.

关键词:

周围动脉疾病周围动脉疾病脚软组织缺陷脚软组织缺陷干预性治疗是一种干预性治疗.穿孔器的片是可以穿孔的.

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