医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
1期
196-196
,共1页
复杂性上肢离断%再植术%术后康复%功能训练%临床疗效
複雜性上肢離斷%再植術%術後康複%功能訓練%臨床療效
복잡성상지리단%재식술%술후강복%공능훈련%림상료효
The complexity of the upper limb amputation%Replantation%Postoperative rehabilitation%Functional training%Clinical ef icacy
目的：分析复杂性上肢离断再植术及术后康复治疗的临床疗效。方法选取2011~2012年收治的40例复杂性上肢离断患者，所有患者均实施骨折固定及无创血管神经修复断肢再植术，手术完成后结合着术后采取一系列理疗方式及功能训练对患者进行康复治疗，观察患者的康复情况。结果经过60d的术后康复治疗后，本组40例患者种有35例再植上肢全部成活，成活率为87.5%；对患者实施五年的随访发现，有9例患者情况为优，17例患者情况良好，7例患者情况较差，2例患者情况恶劣，优良率为74.29%。结论复杂性离断上肢只要肢体远端较完整均可再植，患者手术后结合理疗和功能训练等康复治疗可提高临床治疗效果。
目的：分析複雜性上肢離斷再植術及術後康複治療的臨床療效。方法選取2011~2012年收治的40例複雜性上肢離斷患者，所有患者均實施骨摺固定及無創血管神經脩複斷肢再植術，手術完成後結閤著術後採取一繫列理療方式及功能訓練對患者進行康複治療，觀察患者的康複情況。結果經過60d的術後康複治療後，本組40例患者種有35例再植上肢全部成活，成活率為87.5%；對患者實施五年的隨訪髮現，有9例患者情況為優，17例患者情況良好，7例患者情況較差，2例患者情況噁劣，優良率為74.29%。結論複雜性離斷上肢隻要肢體遠耑較完整均可再植，患者手術後結閤理療和功能訓練等康複治療可提高臨床治療效果。
목적：분석복잡성상지리단재식술급술후강복치료적림상료효。방법선취2011~2012년수치적40례복잡성상지리단환자，소유환자균실시골절고정급무창혈관신경수복단지재식술，수술완성후결합착술후채취일계렬리료방식급공능훈련대환자진행강복치료，관찰환자적강복정황。결과경과60d적술후강복치료후，본조40례환자충유35례재식상지전부성활，성활솔위87.5%；대환자실시오년적수방발현，유9례환자정황위우，17례환자정황량호，7례환자정황교차，2례환자정황악렬，우량솔위74.29%。결론복잡성리단상지지요지체원단교완정균가재식，환자수술후결합리료화공능훈련등강복치료가제고림상치료효과。
Objective to analyze the complexity of upper limb of the wounded from the broken and postoperative rehabilitation treatment clinical curative ef ect. Methods choose 2011-2012 were complexity of 40 patients with upper limb severed, al patients with fracture fixation and noninvasive vascular nerve repair of the wounded limb, surgery combined with postoperative taken after the completion of a series of physical therapy methods and functions of the patients in rehabilitation training, observe the patient's recovery. Results:after 60 days of postoperative rehabilitation, this group of 40 kinds of 35 patients with replantation of upper limbs al survived, the survival rate is 87.5%;Implement the fol ow-up period of five years for patients with nine patients condition for optimal, 17 patients were in good condition, seven patients condition is bad, bad 2 patients condition, fine rate was 74.29%. Conclusion:the complexity are near broken arm as long as distal limb complete al can reat ach, patients after surgery combined with function training of physical therapy and rehabilitation treatment can improve the clinical therapeutic ef ect.
