临时血管内转流术在肢体血管损伤修复中的应用  

Application of temporary intravascular shunt in repair of extremity vascular injuries

作　　者：肖占祥[1] 岳劼[1] 戚悠飞[1] 曾昭凡[1] 李振振[1] 刘飒华[1] 陈浩[1] 吴鸿飞[1] 

机构地区：[1]海南省人民医院血管外科,海南海口570311

出　　处：《中国普通外科杂志》2013年第12期1618-1621,共4页China Journal of General Surgery

摘　　要：目的：探讨临时血管内转流术在治疗血管损伤中的价值。方法：总结2006年6月-2013年6月采用临时血管内转流术的血管损伤患者临床资料。结果：全组5例患者，共9条肢体血管受损（3例因外伤、2例因肿瘤切除手术）。5例患者共8条临时血管内转流管（动脉5条，静脉3条）置人受损血管快速重建肢体血运，然后再行创面的处理及骨折手术；转流时间2～3h，移除转流管后采用自体大隐静脉移植行血管重建术。全组无死亡，术后1例发生缺血肌挛缩，1例并发下肢深静脉血栓。结论：临时血管内转流术可快速重建肢体血供，缩短肢体缺血时间，为其他合并损伤的处理提供了条件。Objective： To investigate the value of temporary intravascular shunt （TIVS） in management of vascular injuries. Methods： The clinical data of patients who had vascular injuries undergoing TIVS from June 2006 to June 2013 were reviewed. Results： The entire group comprised 5 patients with total of 9 injured limb vessels （injuries in 3 cases were caused by trauma and in 2 cases occurred during tumor resection surgery）. In the 5 patients, a total of 8 TIVS tubes were inserted into the injured vessels （5 arteries and 3 veins） for rapid revascularization of the limb, and then wound debridement and fracture management procedures were performed. The shunt time was 2 to 3 h, and all patients underwent autologous saphenous vein tubes were removed. No death occurred in the whole group; developed venous thrombosis after operation. grafting for vessel reconstruction after the TIVS one case had ischemic contracture and one caseConclusion： TIVS allows rapid revascularization of the injured limb, and shortens its ischemic time that provides opportunities for the management of other associated injuries.

关 键 词：血管 损伤 临时血管内转流术 

分 类 号：R654.4[医药卫生—外科学]