血管移植在四肢血管损伤中的应用

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

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-胭静脉原位置换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.

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.