CAJ | 학술논문

目的：报道暂时性体外胫后动脉旁路治疗髂股动脉损伤的手术方法及临床疗效。方法1993年2月—2013年2月，设计并采用暂时性体外胫后动脉旁路术，治疗钝性髂股动脉闭合伤，伴Ⅲ~Ⅳ级失血性休克患者104例。双下肢胫后动脉行端端吻合，术后（30±10） d再行髂股动脉重建，7 d后分离血管旁路。结果本组患者伤肢均成活，体外旁路术均获得成功。术后平均随访（48±2.7）个月，所有患者双下肢肌力均为5级，静态两点辨别觉测试得分双足基本等同。结论采用胫后动脉暂时性体外旁路术治疗髂股动脉损伤合并严重失血性休克，能快速恢复下肢远端血供，手术风险较低，手术时间短，失血量少，为后期修复髂股动脉创造有利条件。
목적：보도잠시성체외경후동맥방로치료가고동맥손상적수술방법급림상료효。방법1993년2월—2013년2월，설계병채용잠시성체외경후동맥방로술，치료둔성가고동맥폐합상，반Ⅲ~Ⅳ급실혈성휴극환자104례。쌍하지경후동맥행단단문합，술후（30±10） d재행가고동맥중건，7 d후분리혈관방로。결과본조환자상지균성활，체외방로술균획득성공。술후평균수방（48±2.7）개월，소유환자쌍하지기력균위5급，정태량점변별각측시득분쌍족기본등동。결론채용경후동맥잠시성체외방로술치료가고동맥손상합병엄중실혈성휴극，능쾌속회복하지원단혈공，수술풍험교저，수술시간단，실혈량소，위후기수복가고동맥창조유리조건。
Objective To report the method and effect of temporary ex vivo posterior tibial artery bypass for treating iliofemoral artery injury. Methods From February 1993 to December 2013, we designed and applied temporary ex vivo posterior tibial artery bypass to treat blunt iliofemoral artery close injury in 104 patients, with 3 or 4 hemorrhagic shock. An end to end anastomosis between the two posterior tibial arteries was performed. The iliofemoral artery was reconstructed in 30+10 days postoperation, and separated blood vessel bypass in 7 days. Results The injury limbs all Survived, all cases were followed up for average 48 months, the muscle strength of both legs was of grade 5 based on Medical Research Council scale. Static two-point discrimination test scores were similar on both feet. Conclusion It is a feasible choice that applying temporary ex vivo posterior tibial artery bypass to treating iliofemoral artery injury with hemorrhagic shock. And it provides advantageous andition for treating iliofemoral artery in later stage.