Value of wound blush in predicting ulcer healing in patients with critical limb ischemia after endovascular revascularization
10.3760/cma.j.issn.1673-4203.2017.06.006
- VernacularTitle:伤口呈色显影用于预测重症肢体缺血患者血管腔内治疗后溃疡愈合的价值初探
- Author:
Hui XIE
;
Xiangjiang GUO
;
Lei LYU
;
Rundan DUAN
;
Kejia KAN
;
Haozhe QI
;
Meng YE
;
Lan ZHANG
;
Guanhua XUE
- Keywords:
Forecasting;
Ulcer;
Wound Healing;
Ischemia;
Critical limb ischemia;
Endovascular therapy
- From:
International Journal of Surgery
2017;44(6):379-382,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of wound blush in predicting patients' ulcer healing whom with critical limb ischemia after revascularization.Methods Retrospectively analyze the clinical data of 173 cases of critical limb ischemia with ischemic ulcers under thetreatment of endovascular therapy followed the concept of angiosome.According to the condition of wound blush after endovascular therapy,by compared the difference of limb salvage rate and ulcer healing time,and try to analyze the value of wound blush in predicting ulcer healing in patients.Results Included in the study with a total of 173 cases (173 limbs),group wound blush(+) 109 patients,group wound blush (-) 64 cases,the age,proportion of male patients,smoking history,diabetes,coronary heart disease,chronic renal insufficiency,pre and post operative ankle brachial index,were no statistical difference between the two groups.The ulcer healing time of group wound blush (+) was significantly shorter than that of group wound blush(-) (P ＜ 0.05).The rate of ulcer healing in group wound blush(+) was significantly higher than that in group wound blush(-) (P ＜ 0.05).In group wound blush(+),the cumulative rate of limb salvage was statisticallyhigher than group wound blush (-) (P ＜ 0.05).By logistic regression analysis,wound blush(-) (OR =4.5,P ＜ 0.05),IRc revascularization (OR =2.6,P ＜ 0.05) were independent risk factors of ulcer healing.Conclusions The resoult of wound blush(+) shows a good distal perfusion of foot.It can be used as a predictive factor for critical limb ischemia ischemic ulcer healing,and wound blush (-) was an independent risk factor for ulcer nonhealing.
