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中华普通外科学文献(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 330 -334. doi: 10.3877/cma.j.issn.1674-0793.2024.05.003

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开放手术在慢性肢体威胁性缺血中的应用及评价
李梓伦1, 常光其1,()   
  1. 1. 510080 广州,中山大学附属第一医院血管外科
  • 收稿日期:2024-05-10 出版日期:2024-10-01
  • 通信作者: 常光其

Application and evaluation of open surgery in chronic limb-threatening ischemia

Zilun Li, Guangqi Chang()   

  • Received:2024-05-10 Published:2024-10-01
  • Corresponding author: Guangqi Chang
引用本文:

李梓伦, 常光其. 开放手术在慢性肢体威胁性缺血中的应用及评价[J]. 中华普通外科学文献(电子版), 2024, 18(05): 330-334.

Zilun Li, Guangqi Chang. Application and evaluation of open surgery in chronic limb-threatening ischemia[J]. Chinese Archives of General Surgery(Electronic Edition), 2024, 18(05): 330-334.

外周动脉疾病(peripheral arterial diseases,PAD)是一种常见且显著影响生活质量的疾病,主要是由于动脉粥样硬化斑块引起的除脑和冠状动脉以外的体循环动脉狭窄和阻塞。据中国心血管健康与疾病报告2022概要推算,我国现患PAD人数为4 530万。慢性肢体威胁性缺血(chronic limb-threatening ischemia,CLTI)作为PAD的最严重阶段,常伴有静息痛、坏疽或下肢溃疡(持续>2周)等临床症状,并存在创口延迟愈合、截肢和死亡的风险。因此,对CLTI进行及时且有效的初次干预是提高患者生活质量的关键。

表1 全球血管指南(2019)中优先选择开放手术治疗CLTI的适应证及推荐等级[4]
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