股动脉夹闭在下肢多发开放骨折中的应用  

Application of clipping femoral artery temporaly in multiple open comminuted fractures of lower limb

作　　者：牛志勇[1] 杜张荣[1] 田少斌[1] 陈晋伟[1] 宋俊杰[1] 刘志深[1] 许张民[1] 

机构地区：[1]山西省晋城煤业集团总医院骨一科,048006

出　　处：《中国实用医刊》2012年第10期45-46,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨股动脉暂时夹闭在下肢多发开放粉碎性骨折术中减少出血的作用。方法通过分析以往患者的临床资料，用32例同侧下肢多发开放粉碎性骨折常规清创复位内固定作为对照组，36例应用腹股沟部股动脉暂时夹闭阻断下肢主要血流减少出血作为研究组，比较两组手术时间和出血量。结果股动脉暂时夹闭的手术时间为（149±74）min，术中出血量为（827±509）ml；常规非股动脉夹闭组的手术时间为（221±45）min，术中出血量为（1652±707）ml，两者比较差异有统计学意义（P〈0．05）。结论股动脉暂时夹闭能明显减少同侧下肢多发开放粉碎性骨折术中的出血，缩短手术时间，有一定的临床应用价值。Objective To investigate the of clipping the homonymy femoral artery temporaly on reducing hemorrhagg of multiple open comminuted fractures of lower limb. Methods The clinical data of patients were reviewed, common debridement, reduction and internal fixation for the multiple open comminuted fractures of lower limb （32 cases） were performed in the control group. On the basis of a- bove treatment, clipping the homonymy femoral artery temporaly at the groin area was performed in the study group to reduce hemorrhage at the same time. The operation time and the hemorrhage volume were compared between the two groups. Results The time of the operation after femoral artery clamped in the experimental group was （149 ±74） minutes, the hemorrhage volume was （827 ±509） ml; The time in the control group was （221 ± 45 ） minutes, and the hemorrhage volume was （1652 ± 707 ） ml. The difference between the two group was statistical significant （ P 〈 0. 05）. Conclusions To clip the hom- onymy femoral artery temporaly can reduce the hemorrhage volume and the operation time obviously in the multiple open comminuted fractures of lower limb, thus have certain clinical application value.

关 键 词：多发 下肢开放粉碎性骨折 股动脉 夹闭 

分 类 号：R687.3[医药卫生—骨科学]