不同平面腘动脉损伤血清肌酸激酶动态变化的临床特点

doi:10.13418/j.issn.1001-165x.2021.02.015

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中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (2) : 196-201. DOI: 10.13418/j.issn.1001-165x.2021.02.015

临床研究

不同平面腘动脉损伤血清肌酸激酶动态变化的临床特点

毛剑杰¹，　高建明^1,2

作者信息 +

Clinical characteristics of dynamic changes of serum creatine kinase in popliteal artery injury in different planes

Mao Jianjie¹, Gao Jianming^1，2

Author information +

文章历史 +

摘要

目的　探讨不同平面腘动脉损伤致患肢创伤严重程度的临床意义，评估腓肠动脉在腘动脉创伤修复中的作用。方法　收集2010年1月~2019年12月收治的单侧膝关节周围骨折（含脱位）患者103例。其中，合并腘动脉损伤患者68例，根据损伤平面是否高于腓肠动脉分为高位组（16例）和低位组（52例）；其余35例为对照组。对比分析3组患者术前、术后1、3、7、15 d肌酸激酶（creatine kinase，CK）。结果　高位组CK值显著大于低位组，低位组大于对照组（F=217.709，P<0.001）；同一时间点（术前、术后1、3、7、15 d）3组患者CK值两两比较均有明显差异（P<0.001)。高位组CK各时间点比较均有统计学差异（P<0.05）；低位组术前与术后7 d（P=0.930）、术后1 d与术后3 d（P=0.195）比较无统计学差异。结论　高位组患肢缺血、损伤程度重于低位组；腓肠动脉是腘动脉不同损伤平面CK差异的主要原因，具有代偿作用。

Abstract

Objective　To investigate the clinical significance about the severity of trauma to the affected limb caused by popliteal artery injury at different levels, to evaluate the role of sural artery in repair of popliteal artery trauma.　Methods　One hundred and three patients with unilateral knee fracture (dislocation) who were admitted to our hospital from January 2010 to December 2019 were collected. Sixty-eight patients with popliteal artery injury were divided into a high group (n=16) and a low group (n=52) according to whether the injury level was higher than the sural artery or not, the remaining 35 patients were in a control group. The CK (creatine kinase) of three groups before operation and 1 day, 3 days, 7days, 15 days after operation were compared and analyzed.　Results　CK value in the high group was significantly higher than that in the low group, while the low group was higher than the control group (F=217.709, P<0.001). There were significant differences in CK value among the three groups at the same time point (before operation, 1 day, 3 days, 7 days 15 days after operation) (P<0.001). There were statistical differences in CK value at each time point in the high group (P<0.05); there were no statistical differences in CK value between before operation and 7 days after operation (P=0.930), 1 day and 3 days after operation (P=0.195) in the low group.　Conclusions　The degree of limb ischemia and injury in the high group is more serious than that in the low group. The sural artery is the main reason for CK difference at different injury planes of popliteal artery, and it has a compensatory effect.

导出引用

毛剑杰, 高建明. 不同平面腘动脉损伤血清肌酸激酶动态变化的临床特点[J]. 中国临床解剖学杂志. 2021, 39(2): 196-201 https://doi.org/10.13418/j.issn.1001-165x.2021.02.015

Mao Jianjie, Gao Jianming. Clinical characteristics of dynamic changes of serum creatine kinase in popliteal artery injury in different planes[J]. Chinese Journal of Clinical Anatomy. 2021, 39(2): 196-201 https://doi.org/10.13418/j.issn.1001-165x.2021.02.015

中图分类号： R641

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