Dergiler / Damar Cerrahi Dergisi / 2001 / Cilt: 10 - Sayı: 1
Periferik damar yaralanmalarında son 5 yıllık tecrübelerimiz
- Sayfa
- 36–40
- DOI
- —
Özet
Kliniğimizde Ocak 1995-Ocak 2000 tarihleri arasında, damar yaralanması nedeniyle müdahale edilen 49 olgu retrospektif olarak incelendi. Ateşli silahla yaralanma 29 (%59,18), künt travma 13 (%26,53), kesici aletle yaralanma 7 (%14,28) olguda etiyolojik faktör olarak tespit edildi. Popliteal arter+ven yaralanması 12 (%24,48) olgu ile en sık yaralanmanın olduğu damarlardı. Damar yaralanması ile birlikte, kemik yaralanması 21 (%42,85), sinir yaralanması 12 (%24,48) olguda tespit edildi. Arteriyel ve venöz tamirde safen ven grefti ile interpozisyon en sık uyguladığımız yöntemdi. Ameliyat endikasyonunu 9 (%18,36) olguda angiografi, 4 (%8,16) olguda doppler, 36 (%73,46) olguda fizik muayene sonuçlarıyla koyduk.
Abstract
Forty-nine patients who were operated for vascular injury between January 1995 and January 2000 investigated retrospectively. Twenty-nine patients (59.18%) were gun shot, 13 (26.53%) blunt trauma and 7( 14.28%) were injured by sharp tools. Popliteal artery and popliteal vein was injured in 12 cases which were the most common injured vasculature (24.48%). In 21 cases bone injury (42.85%) and in 12 cases nerve injury ( 24.48%) was accompanying to vascular injury. Saphenous vein graft interpositioning was the most common repairment for both arterial and venous injury. For surgical decision making; in 9 cases (18.36%) angiography, in 4 cases ( 8.16%) Doppler ultrasonography was performed. For the rest of the cases (36, 73.46%) physical examination was sufficient for surgical decision.