摘要
目的回顾性分析胫骨上段骨折并血管损伤的治疗效果,提高胫骨上段骨折并血管损伤的早期诊治水平。方法本组8例胫骨上段骨折并血管损伤病例中,胫骨上段骨折合并腘动脉断裂4例,合并腘静脉断裂1例,合并腘动静脉挫伤1例、就诊时间为伤后2～4小时,伤后24小时就诊者2例为合并腘动脉部分断裂。4例行动脉吻合术,1例行腘静脉吻合术,1例行腘血管探查松解术,2例行截肢术。结果本组6例经手术给予胫骨切开复位内固定、血管损伤治疗后下肢功能完全恢复,血管吻合术后肢体存活率为100%,2例行截肢术。结论胫骨上段骨折并血管损伤后,应仔细检查,避免漏诊,尽快血管探查,才能避免截肢等灾难性后果。
Objective To retrospectively analyse the therapeutic effective of blood vessel injuries associated with proximal tibial fractures and improve the standards of early diagnosis of it. Methods 8 cases suffered from blood vessel injuries associated with proximal tibial fracture were treated from 2000 to 2005. The type of blood vessel injuries were popliteal artery injuries 4 cases, popliteal vein injuries 1 case, crush injuries of popliteal blood vessel 3 cases. Anastomosis of popliteal artery were conducted in 2 cases. Anastomosis of popliteal vein was conducted in 1 case. exploratory operation of popliteal vessel were conducted in 3 cases. Results proximal tibial open reduction and internal fixation and the function of lower limbs recovered completely in 6 cases. Limbs survival rate after popliteal vessel repair were 100%. Amputation were performed in 2 cases. Conclusions Careful clinical examination is very important to the diagnosis of vessels injuries. when the diagnosis is definitude exploratory operation of popliteal vessel must be performed as quickly as possible
出处
《中国医药导报》
CAS
2006年第8期18-19,16,共3页
China Medical Herald
