“无选择危急肢体缺血治疗的新思路”

N. Angelides
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引用次数: 0

摘要

临界肢体缺血(CLI)是外周动脉闭塞性疾病(PAOD)的晚期。这个阶段可以被认为是即将发生坏疽和截肢之前的一个步骤。最近,研究表明,在无选择的CLI病例中,干细胞和基因治疗的单独或联合使用,可以在缓解静息痛和愈合缺血性溃疡方面提供治疗益处。虽然这些治疗组合是安全的,但它们是否能有效地降低截肢的风险,并在一定程度上提高生活质量,似乎仍然存在一个灰色地带。更多的研究是必要的。
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"Novel Ideas for the Treatment of No- Option Critical Limb Ischemia"
Critical limb ischemia (CLI) is the advanced stage of peripheral arterial occlusive disease (PAOD). This stage can be considered as a step prior to impending gangrene and amputation. Recently, it has been demonstrated that the use of stem cells and gene therapy, either alone or in combination in cases of no-option CLI, can provide therapeutic benefits in terms of relieving the rest-pain and healing the ischaemic ulcers. It seems, that although such combinations of treatment are safe, a grey area still exists to whether they are effective in reducing the risk of amputation and improving the quality of life to a reasonable degree. More studies are necessary.
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