下肢严重损伤截肢与保留的计量诊断  

Quantitative Diagnosis to Amputation or Salvage of the Lower Limbs Following Severe Injuries

作　　者：唐运章[1] 陈庄洪[1] 谭宗奎[1] 葛江陵[1] 顾小红 

机构地区：[1]广州军区武汉总医院全军骨科中心

出　　处：《中华创伤杂志》1995年第4期195-197,共3页Chinese Journal of Trauma

摘　　要：取２００例下肢严重损伤（截肢者与保留者各１００例），应用评分方法，根据年龄、休克、伤口污染，皮肤、肌肉肌腱、骨关节、血管及神经损伤程度进行多因素两类判别分析，对伤肢进行计量诊断．结果显示：截肢组平均２２．７４分（１７～２８分），保留组１５．７７分（１３～２１分）；判别方程Ｚ＝０．１４Ｘ１＋１．４８Ｘ２＋１．４３Ｘ３＋１．６３Ｘ４＋５．８４Ｘ５＋５．０９Ｘ６＋４．３４Ｘ７＋２．１９Ｘ８，Ｚ＊＝６７．５２．方差分析所建方程有高度显著意义（Ｐ＜０．００５）．各因素对方程的贡献率以肌肉严重损伤对肢体威胁最大，其次为血管损伤，再次为骨关节损伤．原资料回代验证准确率为９８％．由此认为，该方程对临床下肢严重损伤的伤情判断及决定伤肢保留与否有重要价值．To judge injury severity and provide an objective basis for the treatment of injured lower limbs,200 patients with severe injury in lower limbs were studied.A hundred patients were subjected to amputation,the others non amputation.Quantitative diagnosis was made according to patients' age,the severity of shock,wound infection and injuries.It showed that the score was 22.74 and 15.77 in amputation and non amputation groups,respectively.Severe muscle injury is the most important factor involved in the score,following by the blood vessel,bone and joint injury.The accuracy of the method with back substitution test is 98%.It is believed that the estimating method is of important value in determining injury severity and further amputation or salvage in lower limbs.(Original article on page 195)

关 键 词：下肢 损伤 截肢 计量诊断 

分 类 号：R658.04[医药卫生—外科学]