闭合性腘动静脉损伤2例治疗分析

Blunt popliteal artery injury with 2 Cases Report

目的探讨闭合性腘动静脉钝性损伤的诊治方法。方法本院近期收治闭合性腘动静脉钝性损伤2例,两例患者均有膝关节周围骨折,腘动静脉均系钝性损伤。结合受伤情况及临床检查以及多普勒超声检查,早期诊断,早期仔细修复损伤的血管,术中、术后抗凝治疗,以及术中预防性筋膜切开减压、预防感染等综合治疗。结果1例截肢,1例发生缺血性肌坏死虽保住了肢体,但遗留有严重的肢体功能障碍。结论闭合性腘动静脉钝性损伤应早期诊断,积极采取手术等综合治疗,降低并发症发生率和截肢率。

Objective To study the early diagnosis and treatment of the blunt popliteal artery injury. Methods Recently, 2 cases of blunt popliteal artery injury were diagnosed as earlier as possible based on clinical analysis including injury condition, clinical examination and Doppler-Duplex ultrasonography and treated with early repair of the injured arteries, intraoperative or postoperative anticoagulation, immediate fasciotomy and thorough debridement of the ischemic and necrotic muscules and soft tissue. Results There was one with amputation and one with serious dysfunction of the lower extremity left severe function disorder of the extremities. Conclusion A rational and prompt diagnosis and treatment for blunt popliteal artery injury will decrease the adverse effect of ischemia and reduce overall morbidity.