摘要
目的分析膝关节周围骨折的并发症。方法对524例膝关节周围骨折病例进行回顾性研究，其中交叉韧带损伤143例（27．3％），神经损伤35例（6．7％），胭动脉损伤19例（3．6％），筋膜间隙综合征32例（6．1％），急性呼吸窘迫综合征（ARDS）3例（0．57％），术后出现栓塞猝死5例（0．95％），分别给予相应的处理。结果经1．5—6年随访，交叉韧带损伤处理组：优91例，良52例；胭动脉损伤处理组：优15例，差4例；神经损伤处理组：优24例，中11例；筋膜间隙综合征处理组：良22例，中5例，差5例。ARDS及栓塞猝死的病例未纳入疗效评价。结论需提高对膝关节周围骨折并发症的认识，努力防范和处理致死、致残性并发症，强调加强对膝关节周围骨折并发症的早期、正确诊断和处理，以及对膝关节周围骨折患者术后发生血栓栓塞性疾病的认识，努力提高防治水平。
Objective To analyze the complications in knee periphery fracture. Methods A total of 524 cases of knee periphery fracture were retrospectively analyzed. Among them,there was cruciate ligaments injury in 143 cases（27.3% ） ,nerve injury in 35 cases （6.7%） , popliteal artery injury in 19 cases （3.6% ） , fascial space syndromes in 32 cases（6.1% ） ,ARDS in 3 cases（0.57% ） ,sudden death due to embolism after operation in 5 cases （ 0.95% ）. All cases were treated respectively. Results Follow-up time ranged from 1.5 to 6 years. The result showed excellent in 91 cases and good in 52 cases in cruciate ligaments injury. There were 15 excellent and 4 poor cases in popliteal artery injury,and excellent in 24 cases and fair in 11 cases in nerve injury. Twenty-two good,5 fair and 5 poor cases were found in fascial space syndromes. The cases of ARDS and sudden death due to embolism were not evaluated. Conclusion The noesis level of complications and embolism in knee periphery fracture should be improved, in an effort to enhance the level of prevention and treatment. Early correct diagnosis and treatment of complications in knee periphery fracture should be emphasized.
出处
《创伤外科杂志》
2009年第4期328-330,共3页
Journal of Traumatic Surgery
关键词
膝关节
骨折
并发症
knee joint
fracture
complication
