[1]牛锋,傅强,赖伟,等.胫骨近端骨折合并腘血管损伤的诊断和治疗[J].中国中医骨伤科杂志,2015,23(01):17-19.
　NIU Feng,FU Qiang,LAI Wei,et al.Diagnosis and Treatment of Proximal TibialFracture with Popliteal Vascular Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(01):17-19.
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胫骨近端骨折合并腘血管损伤的诊断和治疗
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年01期
页码:
17-19
栏目:
临床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Diagnosis and Treatment of Proximal TibialFracture with Popliteal Vascular Injury
文章编号:
1005-0205(2015)01-0017-03
作者:
牛锋1; 傅强1; 赖伟2; 杨昌杰1; 殷利民1;
1.江苏省扬州市中医院骨伤科(江苏 扬州,225002)
2.新疆伊梨新源医院外一科
Author(s):
NIU Feng1; FU Qiang1; LAI Wei2; YANG Changjie1; YIN Limin1;
1.Department of Traumatology and Orthopaedics, Yangzhou Hospital of TCM,Yangzhou,225002, China
2.Xinyuan Hospital, Yili, Xinjiang
关键词:
胫骨近端骨折;  腘血管损伤;  血管造影
Keywords:
proximal tibial fractures;  popliteal vascular injury;  angiography
分类号:
R683.42
文献标志码:
A
摘要:
目的:总结胫骨近端骨折合并腘血管损伤的诊断治疗经验。方法:2009年5月-2013年5月期间,我科共收治7例胫骨近端骨折合并腘血管损伤患者,从受伤至血管造影确诊时间为伤后6～25 h,平均10.3 h,探查见腘动、静脉完全及不完全断裂各3例,腘动、静脉挫伤并栓塞1例,所有病例在确诊后立即手术,行胫骨近端骨折外固定架跨膝关节固定+腘血管探查吻合移植修复治疗。结果:其中6例下肢存有不同程度功能障碍及畸形,1例行截肢术。 结论:胫骨近端骨折合并腘血管损伤后,应仔细检查,尽早行血管造影,避免漏诊,明确诊断后应尽快固定骨折,探查吻合血管,最大程度避免截肢等不良后果。
Abstract:
Objective: To sum up the diagnosis and treatment experience of proximal tibial fractures combined with popliteal vascular injury. Methods: From May 2009 to May 2013, 7 cases of proximal tibial fractures combined with popliteal vascular injury were treated in our department. The time from angiography to diagnosis was 6-25 hours after injury, averaged 10.3 hours. 3 cases for complete and incomplete rupure respectively; Popliteal artery and vein contusion with thrombosis in 1 case. Proximal tibial fracture external fixation and popliteal vessel anastomosis graft restorative treatment were performed immediately after diagnosis in all cases. Results: Varying degrees of lower limb dysfunction and deformity were found in 6 cases and amputation surgery for 1 case. Conclusion: Carefully check and earlier angiography should be done after proximal tibial fractures with popliteal vascular injury to avoid missed diagnosis. Fracture fixation and popliteal vessel anastomosis should be done as soon as possible after the diagnosis, so as to avoid amputation and other adverse consequences.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2014-04-08
更新日期/Last Update: 2015-02-20