NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, HÌNH THÁI TỔN THƯƠNG VÀ KẾT QUẢ ĐIỀU TRỊ CHẤN THƯƠNG, VẾT THƯƠNG ĐỘNG MẠCH NGOẠI BIÊN TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

  Background: Peripheral arterial injury is a common surgical emergency, accounting for 80–85% of all vascular wounds and trauma. Objectives: To describe the clinical characteristics and injury patterns of patients with peripheral arterial trauma, and to evaluate the treatment outcomes of peripheral arterial injuries at Can Tho City General Hospital. Materials and methods: A prospective case series was conducted on 32 patients diagnosed with peripheral arterial wounds or trauma and treated at Can Tho City General Hospital from April 2024 to June 2025. Results: The most commonly used surgical technique was direct end-to-end anastomosis (79.4%). The high rate of direct repair indicates clean-cut injuries with minimal vessel segment loss. All patients demonstrated good postoperative limb perfusion, presenting with warm and pink extremities (100%), and Doppler ultrasound confirmed 100% anastomotic patency. Conclusion: The study shows that peripheral arterial injuries at Can Tho City General Hospital are mainly sharp injuries related to domestic or occupational accidents. Prompt management and the preferred use of endto-end anastomosis yielded excellent outcomes, highly favorable early motor function recovery.