摘要
目的 :探讨分析四肢主干动脉损伤的诊治。方法 :对 6 1例四肢主干动脉损伤进行回顾性分析 ,其中急性动脉伤5 6例 ,假性动脉瘤 5例 ,根据伤情分别采用单纯修补受损血管 ,对端吻合 ,自体静脉移植或人造血管移植修复血管损伤 ,结果 :截肢 2例 ,其中 1例截肢后死于肾功能衰竭 ,其余 5 9例肢体存活并恢复功能。结论 :(1)早期诊断 ,正确处理 ,尽快恢复血循环是挽救肢体的关键。 (2 )动脉缺损 2 cm以上需行血管移植 ,尽量采用自体静脉移植 。
Objective: To investigate the diagnosis and treatment of major arterial injuries in limbs. Methods: Sixty-one cases with major arterial injuries in limbs were reviewed, of those, 56 cases were acute injury and 5 cases were pseudoaneurysms.The managements were direct suture, end to end anastomosis, and reconstruction by autogenous vein or prosthetic material. Results: Amputation had been done in 2 cases,and one of them was died of renal failure. The other 59 cases all had their limbs surrived and got good function.Conclusion:(1)Early accurate diagnosis and prompt surgical treatment of the injured arteries to restore circulation of the limb are the curcial factors for a successful limb salvage.(2) Graft implantation must be performed when the vascular injury was longer than 2cm. Autogenous vein was the first choice of graft material. Prosthetic material was another choice when necessary.
出处
《广西医学》
CAS
2001年第4期735-736,共2页
Guangxi Medical Journal
关键词
四肢血管损伤
手术治疗
诊断
Extremities
Vascular injuries
Surgical treatment.
