surgumedВестник СурГУ. МедицинаVestnik SurGU. Meditsina2949-3447Сургутский государственный университетsurgumed-134Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНА. ОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕCLINICAL MEDICINE. ORIGINAL RESEARCHКОНЦЕПЦИЯ АНГИОСОМА КАК ОСНОВА ПЕРСПЕКТИВНОГО НАПРАВЛЕНИЯ РЕВАСКУЛЯРИЗИРУЮЩИХ ВМЕШАТЕЛЬСТВ У БОЛЬНЫХ С СИНДРОМОМ КРИТИЧЕСКОЙ ИШЕМИИ НИЖНИХ КОНЕЧНОСТЕЙANGIOSOME CONCEPT AS PROMISING DIRECTION BASIS OF REVASCULARIZATION INTERVENTIONS IN PATIENTS WITH CRITICAL LOWER LIMB ISCHEMIA SYNDROMEКательницкийИ. И.KatelnitskiyI. I.rostgmukhb1@yandex.ruСасинаЕ. В.SasinaE. V.rostgmukhb1@yandex.ruЗорькинА. А.ZorkinA. A.az99@mail.ruДрожжинЕ. В.DrozhzhinE. V.fxsurgu@yandex.ruМазайшвилиК. В.MazayshviliK. V.fxsurgu@yandex.ruРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian FederationСургутский государственный университетРоссияSurgut State UniversityRussian Federation20183112201802 (36)2228Copyright © Кательницкий И.И., Сасина Е.В., Зорькин А.А., Дрожжин Е.В., Мазайшвили К.В., 20182018Кательницкий И.И., Сасина Е.В., Зорькин А.А., Дрожжин Е.В., Мазайшвили К.В.Katelnitskiy I.I., Sasina E.V., Zorkin A.A., Drozhzhin E.V., Mazayshvili K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgumed.ru/jour/article/view/134

Цель - оценить эффективность различных методов артериальной реваскуляризации, выполненных с учетом теории ангиосома, в отношении динамики заживления гнойно-некротических дефектов различной локализации у больных с критической ишемией нижних конечностей. У 67 больных с критической ишемией выполнение ангиосом-ориентированного вмешательства сопровождается снижением числа этапных некрэктомий и малых ампутаций в зоне дефекта мягких тканей ( р < 0,05). Скорость репарации дефектов в группах, где реваскуляризация была выполнена по ангиосомному принципу, имеет тенденцию к росту ( р > 0,05), репарация дефектов тканей в зоне ангиосома передней тибиальной артерии происходит быстрее. Транскутанная оксиметрия демонстрирует увеличение показателей в области раневого дефекта при выполнении реваскуляризации вне зависимости от локализации пораженного ангиосома и примененного принципа реваскуляризации.

The aim of the study is to estimate the efficiency of various methods of arterial revascularization performed in terms of the angiosome theory concerning the dynamics of purulo-necrotic complications healing of different localization in patients with critical lower limb ischemia. In 67 patients with critical ischemia, angiosome-oriented intervention is accompanied by a decrease of stage necracetomies and small amputations in the soft tissue defect zone ( p < 0,05). The defect reparation rate in groups where revascularization was performed in terms of the angiosome theory tends to increase ( p > 0,05), repair of tissue defects of the arteria tibial anterior is faster. Transcutaneous oxymetry demonstrates parameters increase in the area of the injury during revascularization regardless of the mutilated angiosome localization and the applied principle of revascularization.

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The authors declare that there are no conflicts of interest present.