四肢主要血管闭合或隐匿损伤的诊断与显微外科修复

Diagnosis and microsurgical repair of the extremities vascular blunt or occult injury

目的探讨四肢主要血管闭合或隐匿损伤诊断与修复方法及其临床效果。方法对11例闭合创伤合并动脉损伤或微小伤口合并动脉损伤的患者行血管成像技术(CTA)检查,诊断明确后行手术探查及显微外科修复。结果 11例患者经CTA检查均清晰显示血管损伤,行显微外科血管重建后肢体恢复血循环。结论对怀疑肢体有闭合或隐匿主要动脉损伤行CTA检查,有助于早期诊断,明确损伤部位;及时手术探查、采用显微外科修复损伤血管是保全肢体成活起关键。

Objective To investigate the diagnosis and lnicrosurgical repair techniques for extremities vascular bluntor occuh injury. Methods The line of the 11 cases of blunt trauma with arterial injury or the tiny wound merger ar-tery, injury patients were undergone CTA. With clear diagnosis, all underwent surgical exploration and microsurgical repair. Results 11 patients CTA in clear display vascular injury, limbs survived successfully with microsurgicul cy-cle reconstruction. Conclusions CTA is effective to diagnosis of closed or occult arterial injury. Suspected blunt ar-teriul injury should be held in the CTA. With CTA treatment guidance and microsurgical techniques, the damage to blood vessels of the limbs can be repaired.