摘要
目的探讨膝关节周围骨折合并血管神经损伤的临床治疗效果。方法回顾性分析72例膝关节周围骨折合并血管神经损伤患者的临床资料,根据患者不同骨折情况进行复位以及相应的血管神经修复治疗,观察记录临床疗效。结果5例患者截肢,其余患者患肢均成活,治疗有效率为93.06%。31例挫伤神经中27例术后恢复至正常水平,4例恢复部分感觉运动功能;完全撕裂的13例神经功能患者中11例恢复情况较好,2例恢复至2级,治疗有效率为86.36%。结论膝关节周围骨折合并血管神经损伤应采取恰当的处理措施以及早期治疗,以显著提高患肢的预后,术中对血管修复与骨折固定的先后顺序对手术是否成功有重要影响。
Objective To explore the therapeutic efficacy for fractures around the knee with concurrent vascular and nerve injury. Methods The clinical data of 75 patients with fractures around the knee with concurrent vas- cular and nerve injury treated were retrospectively analyzed. And fracture reduction, vascular repair and nerve repair were given depending on degree of injure. Therapeutic efficacy of the treatments was recorded. Results 5 cases were amputation, while the others were alive, the rate of efficacy was 93.06%. 27 of the 31 cases of contusion nerve were returned to normal,4 were returned to part of the sensory-motor, 11 of 13 cases of completely torn nerve were recovering well, and 2 of which were 2 degree, and the rate of efficacy was 86.36%. Conclusion The appropriate measures and early treatment should be given, by which prognosis of limb could be improved comspicuously, and the order of vascular repair and fractures fixation is influential on surgery success.
出处
《中国基层医药》
CAS
2013年第2期242-244,共3页
Chinese Journal of Primary Medicine and Pharmacy