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. 2018:(8):50-55.
doi: 10.17116/hirurgia2018850.

[Critical ischemia of hip stump. Incidence, clinical significance and diagnosis]

[Article in Russian]
E M Vasilchenko  1 , V K Tsoy  1 , T N Dedikova  1 , A I Baranov  2 , D G Zoloyev  2 , G K Zoloyev  3
Affiliations

[Critical ischemia of hip stump. Incidence, clinical significance and diagnosis]

[Article in Russian]
E M Vasilchenko et al. Khirurgiia (Mosk). 2018.

Abstract
in English, Russian

Aim: To study the incidence of hip stump ischemia, risk factors for 5-year survival after amputation, clinical features and diagnosis of this complication.

Material and methods: 1287 patients with peripheral artery disease followed by hip amputation were examined within 1997-2015. 50 of them had stump ischemia.

Results: It was found that hip stump ischemia occurs in 5.2% of cases and significantly aggravates 5-year survival. Transcutaneous oxygen tension less than 20 mm Hg is reliable hemodynamic criterion of ischemia.

Цель работы ― изучить частоту возникновения, факторы, оказывающие влияние на 5-летнюю выживаемость больных после ампутации, особенности клинической картины и диагностики ишемии культи бедра. Материал и методы. В период 1997―2015 гг. обследованы 1287 больных с заболеваниями периферических артерий после ампутации бедра, среди них 50 больных с ишемией культи. Результаты. Ишемия культи бедра развивается в 5,2% случаев и существенно снижает показатели 5-летней выживаемости больных. Гемодинамическим критерием ишемии являются показатели транскутанного напряжения кислорода ниже 20 мм рт.ст.

Keywords: critical ischemia; diagnosis; hip amputation; stump disorders.

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