中期妊娠合并左下肢严重毁损伤保肢保胎成功1例  

Successful limb salvage and fetal preservation in the second trimester of pregnancy complicated with severe destructive injury of left lower limb:a case report

作　　者：王鹏 董其强 张磊 谢书强 李胜军 王宏鑫 侯建玺 WANG Peng;DONG Qiqiang;ZHANG Lei;XIE Shuqiang;LI Shengjun;WANG Hongxin;HOU Jianxi(Department of Orthopaedic Surgery,Zhengzhou Renji Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州仁济医院创伤骨科,郑州450000

出　　处：《中华显微外科杂志》2024年第6期706-708,共3页Chinese Journal of Microsurgery

摘　　要：2019年7月,郑州仁济医院创伤骨科收治1例妊娠中期合并左下肢严重毁损伤的31岁患者,经多学科联合诊治,彻底清创、合理骨折固定、联合显微外科技术及Ilizarov技术等进行功能重建及康复锻炼。孕35周时剖宫产一男婴,产后6个月患肢股骨及胫、腓骨截骨延长术及外固定架固定术,术后11个月去除股骨外固定架,术后18个月去除小腿外固定架。术后3年随访,患者所产的男婴发育、智力健康,患肢外观、功能恢复满意。This paper reports a successful limb salvage and fetal preservation in the Department of Orthopaedic Surgery,Zhengzhou Renji Hospital,for a 31-year old pregnant woman who was in the second trimester of pregnancy and suffered a severe destructive injury of left lower limb in July 2019.After thorough debridement and proper fracture fixation,microsurgical and Ilizarove techniques were applied to reconstruct bone and large soft tissue defects as well as the limb functions.Postoperative rehabilitation was conducted.A boy was delivered by cesarean section at 35 weeks.Osteotomy of femur,tibia and fibula and fixation with external fixator were performed at 6 months after surgery.The femoral external fixator was removed at 11 months after surgery,and the calf external fixator was removed at 18 months after surgery.At the 3-year postoperative follow-up,the boy was in good intellectual development,and had good appearance and satisfactory functional recovery of the affected lower limb.

关 键 词：下肢 毁损伤 中期妊娠 显微外科技术 

分 类 号：R714.257[医药卫生—妇产科学] R687.3[医药卫生—临床医学]