Crolais J M, Chevalier J M, Enon B, Moreau P, Pillet J
Rev Chir Orthop Reparatrice Appar Mot. 1983;69(6):475-80.
Despite recent advances in the treatment of vascular injuries, the prognosis of injuries to the popliteal vessels is still poor with an incidence of 10-40 p. 100 of amputations recorded in the literature. Mortality rate is 4 p. 100. The authors have seen 13 cases and have studied seven factors influencing the prognosis - the duration of ischaemia, the general condition of the patient, the type of lesion, the state of the veins, the severity of the ischaemia, the level of the lesion and associated soft tissue injury and wounds. Each of the parameters has been assessed with a grade proportional to its severity. The summation of the grades leads to a division into three degrees of increasing severity and allows an early prognosis to be made. In the most severe degree of the lesion, amputation should be performed immediately. Twenty-one attempts at conservative surgery resulted in success in only four cases, with 17 amputations and four deaths among these.
尽管近期在血管损伤治疗方面取得了进展，但腘血管损伤的预后仍然很差，文献记载的截肢发生率为10%至40%（每100例中有10至40例）。死亡率为4%（每100例中有4例）。作者共诊治了13例患者，并研究了影响预后的七个因素——缺血持续时间、患者的一般状况、损伤类型、静脉状况、缺血严重程度、损伤部位以及相关软组织损伤和伤口情况。每个参数都根据其严重程度进行了分级评估。将这些分级相加后，可分为严重程度逐渐增加的三个等级，并能做出早期预后判断。在损伤最严重的等级中，应立即进行截肢手术。21次保守手术尝试中仅4例成功，其余17例进行了截肢手术，其中4例死亡。
