中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
6期
45-46
,共2页
不缩短指骨%末节断指再植
不縮短指骨%末節斷指再植
불축단지골%말절단지재식
The way of not shorten the phalanx%Details of replantation
目的：探讨末节断指再植采用不缩短指骨方式治疗的效果。方法：选取手指末节断指患者50例(62指)，治疗组30例(38指)采用显微外科技术进行不缩短指骨治疗，对照组20例(24指)采用传统残端修整术治疗，对比两组基本手术情况以及手术整体效果。结果：治疗组手术时间短于对照组，手术成活率为94.7%，对照组为83.3%；治疗组总优良率为89.4%，对照组为62.5%；治疗组发生并发症率为2.6%，对照组为8.3%，差异均有统计学意义(P<0.05)。结论：末节断指再植采用不缩短指骨方式治疗，整体效果理想，值得临床推广。
目的：探討末節斷指再植採用不縮短指骨方式治療的效果。方法：選取手指末節斷指患者50例(62指)，治療組30例(38指)採用顯微外科技術進行不縮短指骨治療，對照組20例(24指)採用傳統殘耑脩整術治療，對比兩組基本手術情況以及手術整體效果。結果：治療組手術時間短于對照組，手術成活率為94.7%，對照組為83.3%；治療組總優良率為89.4%，對照組為62.5%；治療組髮生併髮癥率為2.6%，對照組為8.3%，差異均有統計學意義(P<0.05)。結論：末節斷指再植採用不縮短指骨方式治療，整體效果理想，值得臨床推廣。
목적：탐토말절단지재식채용불축단지골방식치료적효과。방법：선취수지말절단지환자50례(62지)，치료조30례(38지)채용현미외과기술진행불축단지골치료，대조조20례(24지)채용전통잔단수정술치료，대비량조기본수술정황이급수술정체효과。결과：치료조수술시간단우대조조，수술성활솔위94.7%，대조조위83.3%；치료조총우량솔위89.4%，대조조위62.5%；치료조발생병발증솔위2.6%，대조조위8.3%，차이균유통계학의의(P<0.05)。결론：말절단지재식채용불축단지골방식치료，정체효과이상，치득림상추엄。
Objective:To discuss the effect of details of replantation adopt the way of not shorten the phalanx.Method:50 cases(62 fingers) with small finger amputation were selected,the treatment group 30 cases(38 fingers) used microsurgical technique to treatment and adopted the way of not shorten the phalanx,the control group 20 cases(24 fingers) were cured by traditional residual modification,then compares the basic situation of the operation and the effect of the operation.Result:The operation time of the treatment group was shorter than that the control group,the survival rate of the operation was 94.7%,the rate of the control group was 83.3%;the rate of good overall of the treatment group was 89.4%,and the rate of the control group was 62.5%;the incidence of complications of the treatment group was 2.6%,and the rate of the control group was 8.3%;there were statistical significant(P<0.05).Conclusion:The overall effect of details of replantation adopt the way of not shorten the phalanx is ideal,and it is worth promoting.
