摘要: |
目的 通过对10例下肢严重毁损伤保肢过程回顾性总结,分析保肢治疗经验。 方法 2018年6月至2019年5月,总结近1年收治的10例下肢严重毁损伤患者,均在2--10小时内行清创缝合、外固定支架固定、血管神经肌腱吻合术、负压封闭引流((Vacuum sealing drainage, VSD)治疗术等综合治疗。结果 5例患者患肢保全,能自行下地行走,功能评价满意,3例患者患肢保全,功能较差,行走跛行伴疼痛明显,2例患者因缺血性坏死伴感染,二期行大腿下段清创截肢术。结论 正确评估下肢毁损伤程度,合理制定手术方案,能够增加保全肢体有效性,降低致残率,减轻患者心理与经济负担。 |
关键词: 下肢毁损伤,保肢,外固定支架,VSD治疗 |
DOI: |
分类号: |
基金项目:全军医药卫生科研基金2007036010 |
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Experience of limb salvage for severe lower limb injury |
xuqian
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910 Hospital of the People’s Liberation Army,Fujian Quanzhou
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Abstract: |
[Objective] Through a retrospective summary of the limb salvage process in 10 cases of severe lower limb injury, the experience of limb salvage treatment was analyzed. [Method] From June 2018 to May 2019,10 patients with lower extremity injuries in the past year were summarized. They were treated with debridement and suture,external fixation and VSD treatment within 2 to 10 hours. [Result] Five patients were able to walk on their own with satisfactory functional evaluation. Three patients suffered from limb preservation,poor function,limp walking with obvious pain. Two patients suffered from ischemic necrosis accompanied by infection and underwent second stage debridement and computation of the lower thigh. [Conclusion] Correct assessment of the degree of lower limb injury and rational for mulation of surgical procedures can increase the effectiveness of disability rate,and reduce the psychological and economic burden of patients. |
Key words: Lower extremity injury limb salvage external fixator VSD treatment |