摘要
文章报告了9例腘动脉下段分叉部损伤的治疗结果。除1例为土枪霰弹伤外,其余均为钝性暴力所致。早期截肢2例,后期截肢1例,截肢率33.3％。存活肢体中1例明显小腿缺血性挛缩,1例轻度小腿缺血性挛缩,4例功能基本正常。腘动脉下段分叉部损伤具有血管损伤范围广,远端缺血严重,常伴有骨、关节及皮肤、肌肉、神经等组织损伤等特点。尽早手术,同时重建胫前、胫后动脉血循环,尽量修复及保护伤肢静脉,常规行小腿深筋膜切开减压,骨折、脱位同时予以修复并可靠固定是提高治疗效果的必要措施。
Nine cases of vascular injuries to the distal popliteal artery and bifurcation were treated . One case was caused by shotgun shell and the others by blunt trauma.Three ampuations were done (2 primary and 1 late) with amputation rate 33.3%. The result was: 1 case was obvious ischemic contracture of the leg and 1 was slight, 4 were nearly complete recovery. The injuries were featured by severe ischemia of the leg, obviously swelling on the shank and frequently associated with the trauma of the bones and joints, skins, muscles and nerves.The treatment should be focused on: early operation, reconstruction of both posterior tibial artery and anterior tibial artery, repair injured associated veins, early fas-ciotomy for decompression, repair and firm fix of the fracture.
出处
《骨与关节损伤杂志》
1998年第1期17-18,共2页
The Journal of Bone and Joint Injury
