摘要: |
目的 观察预防性切开减压在急性下肢动脉栓塞取栓术中的应用效果。方法 回顾性分析2016年1月至2021年12月在皖南医学院第一附属医院行急性下肢动脉栓塞取栓术,且术中行预防性切开减压处理的17例患者的临床资料,观察其有效性和安全性。结果 17例患者均完成预防性切开减压,1例自行愈合而无需缝合;10例二期清创缝合;6例一期术中预留缝线,延期闭合以减压切口。中位随访时间12个月,其中13例患者痊愈,2例术前轻度下肢感觉或运动功能障碍(不影响日常生活)及2例术前重度下肢感觉或运动功能障碍(未坏死,影响日常生活)患者术后均改善。无患者需植皮或截肢。结论 对于接受急性下肢动脉栓塞取栓术患者,预防性切开减压安全性和有效性均较高。 |
关键词: 预防性切开减压 急性下肢动脉栓塞 缺血-再灌注损伤 |
DOI:10.12025/j.issn.1008-6358.2022.20220714 |
分类号:R543.5 |
基金项目: |
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Efficacy of prophylactic incision decompression in acute lower extremity arterial embolism |
FENG Gui-lin, XUE Qing-quan, XIA You-chuan, XU Bei, ZHANG An-dong, LI Fang-kuan, HU Ji-qiong
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Department of Vascular Surgery, the First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui, China
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Abstract: |
Objective To observe the effect of prophylactic incision decompression on patients with acute lower extremity arterial embolism underwent arterial embolectomy. Methods Clinical data of 17 patients with acute lower extremity arterial embolism who received arterial embolectomy and prophylactic incision decompression simultaneously during the surgery in the First Affiliated Hospital of Wannan Medical College from January 2016 to December 2021 were retrospectively analyzed. The safety and efficacy of procedures were assessed through postoperative follow-up. Results The technical success rate was 100%. 1 patient healed spontaneously without suture, 10 patients received secondary debridement and suture, 6 patients received first-stage reserved suture and delayed suture. The median follow-up time was 12 months. Of these patients, 13 patients healed up. Mild and severe motor or sensory impairment of lower extremity before surgery improved after surgery in 2 and 2 patients. No skin-grafting or amputation was needed. Conclusions Prophylactic incision decompression is safe and effective in patients with acute lower extremity arterial embolism during arterial embolectomy. |
Key words: prophylactic incision decompression acute lower extremity arterial embolism ischemia-reperfusion injury |