创伤性腘动脉损伤诊断与治疗体会  

The experience of diagnosis and treatment of traumatic popliteal artery injury

作　　者：慈红波[1] 邓杰[2] 任昊[1] 方青波[1] 唐加热克[1] 朱兵[1] 田广磊[1] 管圣[1] 戈小虎[1] 

机构地区：[1]新疆维吾尔自治区人民医院血管外科,乌鲁木齐830001 [2]新疆生产建设兵团第三师图木舒克市人民医院,新疆图木舒克843901

出　　处：《中国血管外科杂志（电子版）》2014年第2期93-95,共3页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：新疆维吾尔自治区自然科学基金(2012211A089)

摘　　要：目的探讨创伤性腘动脉损伤诊断、手术方法及并发症处理。方法回顾性分析新疆维吾尔自治区人民医院血管外科2008年1月至2013年12月手术治疗28例腘动脉损伤患者的临床资料,行动脉端端吻合5例,自体静脉移植21例,动脉裂口缝合1例,腔内治疗1例。结果无1例患者死亡。9例患者出现骨筋膜室综合征行骨筋膜室切开;随访时间1～3个月,6例因患肢严重缺血坏死及感染行截肢术。结论早期诊断,及早重建血流、防治并发症是降低创伤性腘动脉损伤截肢率的关键。Objective To investigate the diagnosis, operation and management of complications of traumatic popliteal artery injury. Methods A retrospective analysis was carried out in 28 patients with traumatic popliteal artery injury from Jan. 2008 to Dec. 2013. The operations were performed according to the types of popliteal artery injury including end-end anastomosis in 5 cases, vein graft transplantation in 21 cases, popliteal artery repair in 1 case and endovascular therapy in 1 case. Results No patient died in our series. Open decompression was performed in 9 cases with osteofascial compartment syndrome. The follow-up varied from 1 to 3 months. Six cases with ischemic necrosis and infection received amputation during follow-up. Conclusions The key of reducing amputation rate includs early diagnosis, early reconstruction of blood flow and prevention of complications.

关 键 词：腘动脉损伤 诊断 治疗 血流重建 术后并发症 

分 类 号：R654.3[医药卫生—外科学]