【摘要】 目的 探讨股动脉断裂显微外科修复的治疗方法。方法 2005 年1 月至2009 年12月,对24例因股动脉断裂采用端端吻合、大隐静脉移植修复方法行急诊手术治疗。结果 术后肢体均存活,患肢足背动脉搏动恢复,肤色、皮温及毛细血管反应正常。术后3 个月行彩色多普勒检查,吻合口血管通畅,无血栓形成及吻合口狭窄,下肢行走功能恢复。结论 急诊抢救休克以及尽早修复重建血管是治疗股动脉断裂的关键。

    【关键词】 股动脉断裂;显微外科;移植

    Diagnosis and microsurgical repair of effects of 24 femoral artery injury

    MIAO Cun-liang,XIE Guang-zhong,LIU Zhi-jun,et al.Department of Microsurgery of Houjie Hospital,Dongguan 523945,China

    【Abstract】 Objective To report the diagnosis methods and clinical treatment effects of femoral artery damage.Methods From January 2005 to December 2009,24 patients with femoral artery injury were treated.Injured arteries were repaired by suturing directly,by end-end anastomosis and by saphenous transplantation.Results Incases,24 survived.The blood flow rate and the diameter of blood vessel on the affected limbs were not different from that of normal limbs by colorful Doppler blood flow monitor.All cases recovered satisfactory limb function.Conclusion To treat the patient shockand microsurgical repair of the injured blood vessel are the key points of making earlier diagnosis for femoral artery damage ......