中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
9期
18-19
,共2页
四肢血管损伤%显微外科%端端吻合%血管移植
四肢血管損傷%顯微外科%耑耑吻閤%血管移植
사지혈관손상%현미외과%단단문합%혈관이식
Medium frequency%Shoulder hand syndrome%OT treatment
目的：总结四肢血管损伤诊治经验，进一步提高治疗效果。方法：收集我院2009年2月～2012年9月救治的66例四肢血管损伤患者，所有患者均采用显微外科技术进行修复。结果：本组66例患者损伤血管133条，单纯修补术8条，端端吻合109条，自体大隐静脉移植16条1，例因伤口感染尺动脉破裂而结扎，损伤动脉复通率98．48％；合并骨折者26例，1例因骨外露截肢，其余经过治疗感觉及运动功能无障碍。结论：肢体大血管损伤，采用显微外科技术可提高治愈率。
目的：總結四肢血管損傷診治經驗，進一步提高治療效果。方法：收集我院2009年2月～2012年9月救治的66例四肢血管損傷患者，所有患者均採用顯微外科技術進行脩複。結果：本組66例患者損傷血管133條，單純脩補術8條，耑耑吻閤109條，自體大隱靜脈移植16條1，例因傷口感染呎動脈破裂而結扎，損傷動脈複通率98．48％；閤併骨摺者26例，1例因骨外露截肢，其餘經過治療感覺及運動功能無障礙。結論：肢體大血管損傷，採用顯微外科技術可提高治愈率。
목적：총결사지혈관손상진치경험，진일보제고치료효과。방법：수집아원2009년2월～2012년9월구치적66례사지혈관손상환자，소유환자균채용현미외과기술진행수복。결과：본조66례환자손상혈관133조，단순수보술8조，단단문합109조，자체대은정맥이식16조1，례인상구감염척동맥파렬이결찰，손상동맥복통솔98．48％；합병골절자26례，1례인골외로절지，기여경과치료감각급운동공능무장애。결론：지체대혈관손상，채용현미외과기술가제고치유솔。
O bjective:To summarize the experience of diagnosis and treatment of vascular injury in limbs , improving the treatment effect.Methods:Collected 66 cases of vascular injury in limbs patients being treated in our hospital from February 2009 to Septem-ber2012, all patients were treated by microsurgical technique to repair .Results:In this group of 66 cases,total 133 vascular injuries, there were 8 simple repairs, 109 end to end anastomosis , 16 autologous greater saphenous vein transplantation , 1 case ligation because of wound infection and injury of ulnar artery rupture .Artery recanalization rate was 98.48%;26 cases were combined with fracture , 1 case of am-putation due to bone exposure , the rest didnot encounter sensory and motor function barrier after treatment .Conclusion:For great vessels injury in limbs, using microsurgery technique can improve the cure rate .
