摘要
目的 总结近年我院对12例股部血管损伤合并软组织严重挫伤保肢与截肢的指征、手术主合并症的治疗。方法 采用血管重建、坏死组织清除、骨折的处理、术后积极治疗代谢性肌肾综合征及小腿骨间膜室综合征等综合治疗方法。结果 除1例死亡,截肢2例,1例小腿肌力下降外,其余均恢复正常。结论 通过血管重建及积极处理合并症可保留肢体,恢复功能。
Objective To sum up 12 cases about the treatment of the femofal blood vessels and tissue injuries with amputation or not, select operating means and the treatment of the complication. Methods To adopt the vascular reconstruction, clean up the necrotic tissue and treat the fracture, prevention and cure the My-onephropathic - metabolic syndrome and the Osteofascial comparment syndrome actively at preoperatively and postoperatively. Results All patients have been healed except 1 patient died, 2 Patients amputated the leg and 1 shank myodynamic fall. Conclusion Through the vascular reconstruction and treat the complication, we have saved the patients lives and kept the limbs whole.
