四肢血管伤显微外科修复失败原因分析  

A Study of the Cases Failed in Microsurgical Repairment of Vascular Injuries in Extremity

作　　者：曾荣[1] 刘双意[1] 彭智[1] 刘志辉[1] 

机构地区：[1]广东医学院附属医院骨科,湛江市524001

出　　处：《中国矫形外科杂志》1999年第9期672-673,共2页Orthopedic Journal of China

摘　　要：目的： 分析四肢血管伤显微外科修复失败的原因。方法： １３２ 例分别采用血管断口修补、端端吻合、自体大隐静脉移植、人造血管套接方法。结果： 失败２３ 例， 失败率为１７４ ％ 。结论： 四肢血管伤显微外科修复术后失败与伤后时间、损伤原因、损伤部位、损伤类型及手术方法的选择等有关。争取８ｈ 内修复是降低失败率的关键。Objective:We tried to analyse the causes of failure in repairing vascular injuries of the extremity by microsurgical precedures.Methods:132 patients were managed by one of the following methods such as laceration suturing、end to end anastomosis、saphanous vein homografting and the use of artificial vossel as an interlink.Results:There were 23 cases failed with a failure rate of 17 4%.Conclusions:The occurrence of failure in microsurgical management of vascular injuries in extremity is related with several points which are the time interval between injury and repairment、the cause、the locality、and the types or kinds of the injury、as well as the choice of proper surgical procedures.It is the key to lower down the failure rate that the rapid institution of treatment within 8 hours after injury.

关 键 词：四肢血管伤 显微外科 失败率 治疗 

分 类 号：R654.405[医药卫生—外科学]