CAJ | 학술논문

目的回顾性分析四肢骨折合并血管损伤的治疗方法和效果.方法分别采用带锁髓内针、钢板螺钉和外固定支架固定骨折,根据血管损伤情况选择血管直接修补术、血管端端吻合术和血管移植术等方法治疗四肢骨折合并主要血管损伤20例.结果本组6例术后截肢,14例肢体成活,伤口愈合好(70%),截肢原因为:缺血时间长、组织严重损伤.结论四肢骨折合并主要血管损伤要早期诊断、及时和正确处理,才可能获得良好的临床治疗效果.
목적 회고성분석사지골절합병혈관손상적치료방법화효과.방법 분별채용대쇄수내침、강판라정화외고정지가고정골절,근거혈관손상정황선택혈관직접수보술、혈관단단문합술화혈관이식술등방법치료사지골절합병주요혈관손상20례.결과 본조6례술후절지,14례지체성활,상구유합호(70%),절지원인위:결혈시간장、조직엄중손상.결론 사지골절합병주요혈관손상요조기진단、급시화정학처리,재가능획득량호적림상치료효과.
Objective The treatment of limb bone fracture in combination with main vessel injury wasanalyzed retrospectively.Methods Twenty ccsese were respectively conducted by interlocking intramedullary pin fixation,plate and screw fixation,plate and screw fixation orextemal brace fixation according to the injury conditions of the fractures.Then,vascahr injaries were flexibly dwelt with direct repair,end-to-end anastomosis or blood vessel grafting.Results The-limb save rate in this study is 70%.and the reaoons which csllsed the amputation included:Long ischemia time and serious tissue damage.Conclusion Fractures of the extremities with major vascular injuries should be diagnosed promptly to be conducted properly.In this way,better outcome would be obtained.