腘动脉损伤导致截肢11例临床分析

目的:总结腘动脉损伤治疗失败的经验教训,为临床诊治腘动脉损伤提供依据。方法:通过总结我院11例腘动脉损伤后导致截肢病例,分析其治疗失败原因。结果:11例腘动脉损伤导致截肢患者,除2例因创伤严重无法修复I期截肢外,另外7例因延误诊治导致截肢,2例虽血运通畅,但因挤压综合征、急性肾衰竭而行截肢。结论:腘动脉损伤关键在于早诊断、早治疗,精确、熟练的显微外科技术及术后正确处理是提高腘动脉损伤治疗成功的关键。

Clinical Analysis of Amputation after Injury of Popliteal Artery

Objective:The aim of this study was to summarize the popliteal artery injuries treatment failure experiences and lessons,and to provide the basis of clinical diagnosis and treatment for popliteal artery injuries.Methods:By summary up 11 cases of popliteal artery injury leading to amputation in our hospital,analyze the reasons for treatment failure.Results:11 cases of patients with popliteal artery injury leading to amputation,in addition to two cases of severe traumatic leading to I period amputation,another 7 cases lead to amputation because of delayed treatment,although 2 cases with smooth blood circulation,but crush syndrome and acute renal failure also lead to amputation.Conclusion :The popliteal artery injury lies in early diagnosis and early treatment,accurate and skilled microsurgical techniques and proper postoperative treatment is the key to success.