Lu Y, Huang Y, Zhao L, Li R, Shi K, Ma P, Chu X
Institute of Orthopaedic Surgery, Fourth Military Medical University, Xián, R.P., China.
Iowa Orthop J. 1993;13:183-95.
The charts of 166 patients with major arterial injuries (175 arterial repairs) inflicted during periods of peace and war time were reviewed. One hundred and sixty-seven (95%) of the arteries repaired remained patent. Nine patients had limbs which developed ischemic contracture. Nine patients required amputations. Follow-up data was obtained from seventy-five patients with an average follow-up of five years and one month (six months to thirty years). Early diagnosis, prompt treatment including fasciotomies when indicated, complete debridement, appropriate coverage, meticulous surgical technique, and simultaneous treatment of concomitant injuries are all crucial factors in successful limb salvage. Major arterial injuries of the limb occur frequently in our patient population, especially in time of war. Successful treatment of major arterial injuries may be life-saving, as well as allowing limb salvage and restoration of limb function. The purpose of this study is to review our experience with repair of major arterial injuries.
回顾了166例在和平时期和战争时期发生严重动脉损伤（175次动脉修复）患者的病历。修复的动脉中有167条（95%）保持通畅。9例患者肢体发生缺血性挛缩。9例患者需要截肢。对75例患者进行了随访，平均随访时间为5年零1个月（6个月至30年）。早期诊断、及时治疗（包括在有指征时进行筋膜切开术）、彻底清创、适当的覆盖、细致的手术技术以及同时治疗合并伤，都是成功保肢的关键因素。肢体的严重动脉损伤在我们的患者群体中很常见，尤其是在战争时期。成功治疗严重动脉损伤可能挽救生命，同时实现保肢和恢复肢体功能。本研究的目的是回顾我们修复严重动脉损伤的经验。
