摘要
目的 :探讨延迟诊断的动脉下段损伤的保肢治疗。方法 :9例诊断时间 >4 8h的动脉下段损伤 ,在修复动脉的同时行小腿坏死肌肉彻底切除并行保肢和康复治疗。结果 :1例截肢 ,8例保肢成功。随访 1.5～ 6年 ,早期小腿下段及足部的感觉障碍均明显恢复 ,但有足下垂畸形、踝关节挛缩及步态异常 ,2例后期行踝关节融合后步态改善。结论 :小腿坏死肌肉彻底切除是动脉下段损伤延迟诊断后采取保肢治疗的重要措施 ;
Objective: To explore limb salvage treatment for popliteal artery inferior segment trauma with delayed diagnosis. Methods: Nine patients with delayed diagnosis of popliteal artery inferior segment trauma for over 48 h underwent the limb salvage surgery by the repair of popliteal artery as well as the resection of necrotic muscles in the legs. Results: Eight patients' limbs were preserved. After the follow up of 1.5-6 years, the sense obstacle of the cruses and the feet was recovered, but with drop feet, ankle joints contracture and steppage gait. Later, 2 patients' gait was improved after the ankle joints fusion. Conclusion: It's an important step to resect the necrotic muscles in the limb salvage surgery for the popliteal artery inferior segment trauma with delayed diagnosis. Early rehabilitation and later ankle joints fusion after operation can improve walking function of lower limbs.
出处
《中国康复》
2004年第3期162-163,共2页
Chinese Journal of Rehabilitation
关键词
腘动脉
损伤
保肢治疗
popliteal artery
injury
limb salvage treatment
