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血管移植在四肢血管损伤中的应用

Hits: 2248 Download times: 1270 Received:January 16, 2006

作者	Author	单位	Unit	E-Mail
陈根强	CHEN Gen-qiang	金华职业技术学院医学院骨科,浙江金华321007	Department of Orthopaedics,Medical College of Jinhua Institute of Profession and Technology,Jinhua 321007,Zhejiang,China	chengenqiang510@sina.com
张志军	CHEN Gen-qiang	浙江大学医学院附属二院,
张浩	CHEN Gen-qiang	金华职业技术学院医学院附属医院
朱家骏	ZHU Jia-jun	金华职业技术学院医学院附属医院

期刊信息：《中国骨伤》2006年19卷，第10期，第591-592页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨血管移植在四肢血管损伤中的作用。

方法:44例(52条)四肢血管损伤患者,男35例,女9例,年龄14~58岁,平均27.3岁,分别采用自体血管(42条)和人造血管(10条)移植。

结果:截肢3例,人工血管移植物感染行股浅-静脉原位置换2例,肢体缺血挛缩6例,神经功能恢复不完全7例。其余移植血管均通畅,远端肢体血循环良好。

结论:血管移植治疗血管损伤保肢成功率高;治疗中须注意早诊断、早修复、严格显微外科原则、积极行骨筋膜室切开减压。

[关键词]:血管损伤血管移植重建循环

Application of blood vessel transplantation for the treatment of vascular injuries of extrimities

Abstract:

Objective:To study the efficienly of blood vessel transplantation for the treatment of vascular injuries of extrimities.

Methods:Forty-four patients with vascular injuries of extrimities were treated with blood vessel transplantation(autograft and artificial blood vessel were 42,10 respectively).There were 35 males and 9 females in the group.The age was 14-58 years with an average of 27.3 years.

Results:There were 3 cases of amputated extremity,6 cases of contracture of extremity and 7 cases of incomplete recover of nerve function.The other blood vessels and circulation of distal limb were satisfactory.

Conclusion:Vascular transplantation can obtain high success rate for salvaing limb in treating vascular injuries.Early diagnosis and plerosis,strictly microsurgical principle,promptly open decompression for osteofascial compartment syndrome should be emphasized during treatment.

KEYWORDS:Vascular injury Vascular transplantation Revascularization

引用本文，请按以下格式著录参考文献：

中文格式:	陈根强,张志军,张浩,朱家骏.血管移植在四肢血管损伤中的应用[J].中国骨伤,2006,19(10):591~592
英文格式:	CHEN Gen-qiang,CHEN Gen-qiang,CHEN Gen-qiang,ZHU Jia-jun.Application of blood vessel transplantation for the treatment of vascular injuries of extrimities[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(10):591~592

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