病例报告:在前侧大腿上穿孔器的整体动脉样性阻塞
1Department of Plastic & Reconstructive Surgery, Dankook University Hospital, Cheonan, Republic of Korea.
Frontiers in surgery
|February 23, 2026
概括
严重的动脉样硬化可以完全封闭穿孔器,对于前侧大腿 (ALT) 板至关重要,即使主要动脉看起来健康. 先进的成像对于在接受微手术重建的糖尿病患者中绘制穿孔器至关重要.
科学领域:
- 血管外科 血管外科
- 糖尿病并发症 糖尿病并发症
- 微手术重建 微手术重建
背景情况:
- 动脉样硬化和血管化在糖尿病患者中很常见,使微手术重建复杂化.
- 之前的研究主要集中在轴性血管上,忽视了穿孔器在动脉样硬化中的参与.
研究的目的:
- 报告一个提供前侧大腿 (ALT) 片的穿孔器完全动脉样性阻塞的病例.
- 突出诊断挑战和影响在糖尿病患者的微手术重建.
主要方法:
- 一个糖尿病患者需要足部重建的案例介绍.
- 术前计算机断层扫描血管造影 (CTA) 和多普勒映射用于穿孔器评估.
- 在ALT升过程中进行的外科探索和手术内发现.
主要成果:
- 尽管有明显的轴动脉,但ALT片的双边穿孔器显示出严重的化和完全封闭.
- 由于穿孔器的脚被堵塞,所以膜 perfusion 失败了.
- 通过使用未受影响的胸脊动脉穿孔板来实现成功的重建.
结论:
- 穿孔器血管可以完全被动脉样硬化堵塞在糖尿病患者,即使有专利的轴动脉.
- 标准的手术前成像可能无法检测到关键穿孔器闭塞.
- 强化诊断工具,如彩色双重超声波或高质量的CTA推在风险患者的手术前穿孔器映射.
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