腘动脉扩大内侧入路应用解剖及其闭合损伤应用

目的 探讨通过扩大内侧入路治疗闭合性腘动脉损伤的效果.方法 在10例红色乳胶灌注的成人下肢标本上,仰卧位解剖观察腘动脉与周围结构的关系,确认腘动脉的扩大内侧入路及其毗邻关系.对12例闭合性腘动脉损伤病人,通过扩大内侧入路进行治疗.结果 通过扩大内侧入路可以有效显露腘动脉全长、腘动脉分支及股动脉腘动脉延续处,并且清楚地观察腘动脉的邻近结构.12例病人均通过扩大内侧入路显露并治疗损伤的腘动脉,同时在无需变换体位的情况下完成并发的其他骨科损伤治疗.术后随访10个月,损伤肢体功能均正常.结论 扩大内侧入路是治疗闭合性腘动脉损伤的理想手术入路.

APPLIED ANATOMY OF ENLARGED MEDIAL APPROACH TO POPLITEAL ARTERY AND ITS CLINICAL APPLICATION FOR CLOSED POPLITEAL ARTERY TRAUMA

Objective To assess the clinical application of enlarged medial approach to popliteal artery for its closed trauma. Methods On 10 lowe-limb samples of adult cadavers perfused with red emulsion, the relation of popliteal arteries and their surrounding structures with enlarged medial approach were observed. The approach was applied for 12 patients with dosed popliteal artery injury. Results The total length of popliteal artery, its branches and femoral-popliteal stretch, as well as its surroun ding structures were fully exposed through the enlarged approach. The 12 patients with popliteal artery trauma were operated on through this approach, and, meanwhile, other complicated injuries managed with no needs of changing the body position. Postoperatively, the function of injured extremity was normal. Conclusion Enlarged medial approach is an ideal way of surgery for closed popliteal artery trauma.