肱骨中上段骨折合并肱动脉损伤的手术治疗(附9例)  

Operative treatment of humeral super-middle fracture combined with brachial artery injury in 9 cases

作　　者：吴文[1] 尹庆水[1] 章莹[1] 符史发[1] 

机构地区：[1]广州军区广州总医院骨科,广州市510010

出　　处：《中华创伤骨科杂志》2004年第8期944-945,共2页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨肱骨中上段骨折合并肱动脉损伤的特点,提出手术治疗的方法。方法自2000年来,采用单侧外固定架骨折固定、自体大隐静脉桥接修复肱动脉治疗9例。结果随访1～2年,吻合段血管均无狭窄。除1例骨折术后骨不连,再次手术外,余骨折均达临床愈合,肢体功能恢复满意。结论术式对肱骨中上段骨折合并肱动脉损伤治疗较为理想,操作简单,具有推广应用价值。Objective To investigate the clinical characteristics and operative treatment of humeral super-middle fracture combined with brachial artery injury. Methods 9 cases of humeral super-middle fracture combined with brachial artery injury have been treated in our department since 2000 with reduction, axial external fixation, and autotransplantation of great saphenous vein to repair brachial artery. Results All patients were followed up for 1 to 2 years. No stenosis occurred at the anastomosed veins and the limbs survived well. All fractures achieved clinical healing except 1 case who had nonunion following refracture and had to undergo secondary operation. Conclusion The operation is simple and easy, but effective in treatment of the humeral super-middle fracture combined with brachial artery injury.

关 键 词：治疗 外科手术 肱骨中上段骨折 动脉 单侧外固定架 大隐静脉 

分 类 号：R687.3[医药卫生—骨科学]