中国骨伤
中國骨傷
중국골상
CHINA JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
2013年
8期
639-641
,共3页
王相%张威凯%尹绍猛%王海兵%何涛%龚永清%朱国明%毛根莲%胡明星%李建
王相%張威凱%尹紹猛%王海兵%何濤%龔永清%硃國明%毛根蓮%鬍明星%李建
왕상%장위개%윤소맹%왕해병%하도%공영청%주국명%모근련%호명성%리건
指损伤%软组织损伤%再植术%修复外科手术
指損傷%軟組織損傷%再植術%脩複外科手術
지손상%연조직손상%재식술%수복외과수술
Finger injuries%Soft tissue injuries%Replantation%Reconstructive surgical procedures
目的：探讨手指指尖离断的治疗方法及临床效果。方法：2007年10月至2011年6月治疗13例18指指尖离断患者，其中男9例，女4例；年龄17～45岁，平均26岁。伤后至就诊时间30 min～5 h，断指缺血时间1．5～7 h，均为常温保存。采用吻合掌指静脉及保留指甲的方法进行再植。结果：13例18指断指均成活并获随访，术后无血管危象发生。随访时间为3～24个月，平均14个月。患指外形及长度与健指相似，指甲平整，关节活动良好，触、痛觉恢复，两点辨别率3～6 mm，平均5 mm。根据中华医学会手外科学会断指再植功能评定标准评定，优14指，良3指，差1指。结论：采用吻合掌侧静脉及保留指甲的方法进行指尖再植，不仅可以提高断指成活率还可以恢复良好的外观及功能，是一种理想的方法
目的：探討手指指尖離斷的治療方法及臨床效果。方法：2007年10月至2011年6月治療13例18指指尖離斷患者，其中男9例，女4例；年齡17～45歲，平均26歲。傷後至就診時間30 min～5 h，斷指缺血時間1．5～7 h，均為常溫保存。採用吻閤掌指靜脈及保留指甲的方法進行再植。結果：13例18指斷指均成活併穫隨訪，術後無血管危象髮生。隨訪時間為3～24箇月，平均14箇月。患指外形及長度與健指相似，指甲平整，關節活動良好，觸、痛覺恢複，兩點辨彆率3～6 mm，平均5 mm。根據中華醫學會手外科學會斷指再植功能評定標準評定，優14指，良3指，差1指。結論：採用吻閤掌側靜脈及保留指甲的方法進行指尖再植，不僅可以提高斷指成活率還可以恢複良好的外觀及功能，是一種理想的方法
목적：탐토수지지첨리단적치료방법급림상효과。방법：2007년10월지2011년6월치료13례18지지첨리단환자，기중남9례，녀4례；년령17～45세，평균26세。상후지취진시간30 min～5 h，단지결혈시간1．5～7 h，균위상온보존。채용문합장지정맥급보류지갑적방법진행재식。결과：13례18지단지균성활병획수방，술후무혈관위상발생。수방시간위3～24개월，평균14개월。환지외형급장도여건지상사，지갑평정，관절활동량호，촉、통각회복，량점변별솔3～6 mm，평균5 mm。근거중화의학회수외과학회단지재식공능평정표준평정，우14지，량3지，차1지。결론：채용문합장측정맥급보류지갑적방법진행지첨재식，불부가이제고단지성활솔환가이회복량호적외관급공능，시일충이상적방법
Objective:To study the replantation methods and clinical results of amputated fingertip. Methods:From Oc-tober 2007 to June 2011,18 fingers of 13 cases were replanted with anastomosis of palm vein and retaining the nail , including 9 males and 4 females,with an average age of 26 years old ranging from 17 to 45 years old. The time from injury to therapy was from 30 min to 5 h, time of broken finger ischemia was from 1.5 to 7 h. All broken fingers were preservation under normal tem-perature. Results:All fingers were survived, no vascular crisis happened. All cases were followed up from 3 to 24 months with an average of 14 months. The length and shape of replanted fingers were similar to that of the healthy side. The new nails were smooth, the function was perfect,the sense of pain and touched sensation had been recovered. Their two piont discriminations ranged from 3 to 6 mm with an average of 5 mm. According to the assessment standard of Chinese Medical Association of Hand Surgery,the results were excellent in 14 cases,good in 3 cases,poor in 1 case. Conclusion:Fingertip replantation with anasto-mosis of palm vein and retaining the nail is regained satisfactory appearance and function of the digits with a high survival rate.
