Chấn thương vết thương động mạch ngoại vi: hình thái tổn th ương và kết quả điều trị tại bệnh viện Việt Đức

Abstract

Including 533 patients treated at the Viet Duc Hospital from 1/2010 to 12/2014. Retrospective study evaluated the results of treatment, complications and management in peripheral arterial injuries. Total arterial resection was seen in 189/533pts≈35,4% and arterial contusion in 262/533pts≈49,1%. The most frequent surgical treatment was resection-direct anastomosis in 76,1% (144/189pts) and autologue veine graft 51,9% (136/262). Brachial artery was the most popular artery which was atteint (30%≈160/533pts) and popliteal artery in 32,8% (175/533). The highest rate of amputation concerned with popliteal lesion (66,6%≈10/15pts). Good post operative treatment accounted for 88,4%, only 0,8% had complications with the secondary amputation. The good result (91,6%) in arterial wound was more favorable in comparision with those of arterial contusion (84,1%). Postoperative complications were local infection (33/63pts), secondary amputation (23,8%≈ 15/63pts).*