股动脉损伤的诊疗策略及病例分析  

Diagnosis and treatment of femoral artery injury and case analysis

作　　者：王坤[1] 于振海[1] 王宾[1] 于剑 王辉[1] 史作磊[1] 李光新[1] Wang Kun, Yu Zhenhai ,Wang Bin ,Yu Jian, Wang Hui, Shi Zuolei, Li Guangxin(Department of Vascular Surgery, Shandong Province Qianfoshan Hospital, Jinan 250014, Chin)

机构地区：[1]山东省千佛山医院血管外二科,济南250014

出　　处：《血管与腔内血管外科杂志》2017年第5期1005-1007,共3页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨不同原因股动脉损伤的早期诊断与治疗。方法 12例患者中3例手术缝合,5例直接放置覆膜支架,4例采用多种介入或手术方法治疗。结果所有患者术后患肢血液循环良好,但有不同程度肢体肿胀,未行筋膜切开减压术。本组随访12例,10例术后患肢活动无明显受限,1例足活动受限,1例小腿远端感觉障碍。结论股动脉损伤的救治应遵循迅速诊断、及时救治的原则,介入治疗为股动脉损伤提供了新的诊疗方法。Objective Explore the early diagnosis and treatment of femoral artery injury in different causes. Methods Of the 12 patients, 3 cases were sutured surgically, 5 cases were directly placed with stent, and 4 cases were treated with multiple interventional or surgical procedures. Results Blood circulation was achieved well, but swelling of limb was found at different extent in all affected ex-tremity. All cases were not underwent decompression fasciotomy. 12 cases were followed up, foot droop appeared in one case; distal leg sensation disorder appeared in one case, and the other were restored well. Conclusion The treatment of femoral artery injury should follow the prompt diagnosis and timely treatment, and the interventional therapy provides a new treatment method for femoral artery injury.

关 键 词：股动脉 创伤和损伤 腔内修复 覆膜支架 

分 类 号：R654.3[医药卫生—外科学]