膝关节置换术腘动脉损伤的治疗体会

目的探讨膝关节置换术腘动脉损伤的原因及治疗方法。 方法回顾性分析2010年10月至2018年5月就诊于烟台市烟台山医院的6例膝关节置换术出现腘动脉损伤患者的临床资料，其中5例为腘动脉假性动脉瘤，1例为腘动脉血栓形成，腘动脉假性动脉瘤予以局部压迫、注射凝血酶、腘动脉修补治疗，腘动脉血栓形成予以置管溶栓治疗。 结果1例腘动脉血栓性形成经置管溶栓后动脉血流恢复，5例腘动脉假性动脉瘤经治疗后均消失，其中1例经局部加压，1例经局部注射凝血酶，3例经腘动脉修补治疗。 结论膝关节置换术腘动脉损伤的原因与患者自身基础疾病、血管条件及术中操作等有关，根据患者腘动脉损伤情况选择合适治疗方式可以得到有效的治疗。

Experience of treatment of popliteal artery injury in knee arthroplasty

ObjectiveTo investigate the causes and treatment of popliteal artery injuries in knee arthroplasty. MethodsThe clinical data of six patients with popliteal artery injuries during knee arthroplasty in Yantaishan Hospital from October 2010 to May 2018 were retrospectively analyzed. Among them, five cases were popliteal artery pseudoaneurysm and one was popliteal artery thrombosis. The popliteal artery pseudoaneurysm was treated by local compression, thrombin injection and popliteal artery repair. The popliteal artery thrombosis was treated by catheter-directed thrombolysis. ResultsOne case of popliteal artery thrombosis was restored by catheter-directed thrombolysis. Five cases of popliteal artery pseudoaneurysm relieved from the syndromes after the treatment. One case underwent local compression, one case received local injection of thrombin, and three cases underwent popliteal artery repair. ConclusionThe causes of popliteal artery injuries in knee arthroplasty are related to the patient’s basic diseases, vascular conditions and intraoperative operations; the effective treatment can be obtained by selecting appropriate treatment methods according to the popliteal artery injury type.