CAJ | 학술논문

目的：研究分析胫腓骨骨折合并血管损伤患者的临床诊断和处理措施。方法该次研究中共入选研究对象34例，均为2012年1月—2013年12月期间在该院收治的胫骨骨折合并血管损伤患者。对患者的临床症状和病历资料进行分析，分析其有效的诊断和治疗方式。结果该研究中18例患者获得成功保肢，16例患者术后有不同程度的足趾、小腿坏死发生，并给予截趾、截肢手术治疗。胫前、后动脉合并损伤的患者具有较高的截肢率，其截肢评分为（6.25±1.10），保肢患者为（5.05±0.75）。结论对胫腓骨骨折合并血管损伤的患者进行早期诊断和处理有助于临床治疗和预后，值得临床重视。
목적：연구분석경비골골절합병혈관손상환자적림상진단화처리조시。방법해차연구중공입선연구대상34례，균위2012년1월—2013년12월기간재해원수치적경골골절합병혈관손상환자。대환자적림상증상화병력자료진행분석，분석기유효적진단화치료방식。결과해연구중18례환자획득성공보지，16례환자술후유불동정도적족지、소퇴배사발생，병급여절지、절지수술치료。경전、후동맥합병손상적환자구유교고적절지솔，기절지평분위（6.25±1.10），보지환자위（5.05±0.75）。결론대경비골골절합병혈관손상적환자진행조기진단화처리유조우림상치료화예후，치득림상중시。
Objective To study and analyze the clinical diagnosis and treatment measures for patients with tibial fracture and vas-cular injury. Methods 34 cases with tibial fracture and vascular injury admitted in our hospital from January 2012 to December 2013 were selected as the subjects of this study. The clinical symptoms and data of the patients were analyzed, and the effective diagnosis and treatment methods were analyzed. Results 18 patients in this study obtained limb salvage successfully. 16 patients had different degrees of necrosis of toe and leg, and were given the toe amputation, amputation operation treatment. Patients with tibial fracture and injury of anterior tibial artery and posterior tibial artery had higher incidence of amputation, the amputation score was (6.25±1.10), and that of limb salvage patients was (5.05 ± 0.75). Conclusion For patients with tibial fracture and vascular in-jury, early diagnosis and treatment are conducive to the clinical treatment and prognosis, which are worthy of clinical attention.