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METHOD OF DETERMINATION OF TARGET ARTERY FOR SURGICAL REVASCULARIZATION OF PATIENTS WITH CRITICAL ISCHEMIA OF LOWER LIMBS

机译:下肢严重缺血性患者外科手术血管搭桥的目标动脉测定方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to vascular surgery, and can be used to determine the target artery for surgical revascularization of patients with critical ischemia of the lower limb. Perform electroneuromyography. Determine the conductivity parameters of the nerve trunks of the affected lower limb: the nerve conduction velocity for the tibial and peroneal nerves. Compare the measurement results with each other. In the presence of differences of 5 % or more – with a greater decrease in the nerve conduction velocity of the tibial nerve, revascularization of the posterior tibial artery circulation is performed, with a greater decrease in the nerve conduction velocity of the peroneal nerve, revascularization of the anterior tibial artery circulation is performed. In the presence of differences of less than 5 % in the nerve conduction velocity, revascularization of both vascular pools is performed.;EFFECT: method allows highly specific determination of the target artery for surgical revascularization of patients with critical ischemia of the lower limb by evaluating and comparing the nerve conduction velocity for the tibial and peroneal nerves.;1 cl, 2 ex
机译:技术领域本发明涉及医学,即血管外科,并且可以用于确定下肢严重缺血患者的外科血运重建的目标动脉。进行电镜检查。确定受影响的下肢神经干的电导率参数:胫骨和腓神经的神经传导速度。相互比较测量结果。在存在5%或更大的差异时-胫神经的神经传导速度降低更大,则进行胫骨后动脉循环的血运重建,腓骨神经的神经传导速度降低更大,血运重建进行胫骨前动脉循环。在神经传导速度差异小于5%的情况下,进行两个血管池的血运重建;效果:该方法可通过评估下肢严重缺血性患者的手术血运重建高度特异性地确定目标动脉并比较胫骨和腓神经的神经传导速度。; 1 cl,2 ex

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