中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2014年
3期
233-237
,共5页
上肢%双平面离断%组织缺损%再植
上肢%雙平麵離斷%組織缺損%再植
상지%쌍평면리단%조직결손%재식
Upper limb%Biplane mutilation%Tissue defect%Replantation
目的 探讨上肢双平面离断合并软组织缺损的再植方法.方法 自2003年1月至2013年1月,共完成各种上肢双平面离断再植的患者29例,其中男21例,女8例,年龄1～70岁,平均28.6岁.根据离断平面及软组织缺损情况的不同,采用不同的再植顺序并联合血管神经、皮瓣移植等方法进行处理.结果 29例再植肢体全部成活,但有2例患者出现伤口感染及3例患者出现局部软组织坏死而发生延迟愈合.所有患者采用中华医学会手外科学会断肢再植功能评定标准进行评分,优9例,良14例,差4例,劣2例,优良率为79.3％.结论 上肢双平面离断合并组织缺损需要根据离断平面的不同采用不同的再植顺序及合理的组织移植方法,才可以达到较高的成活率及较好的功能.
目的 探討上肢雙平麵離斷閤併軟組織缺損的再植方法.方法 自2003年1月至2013年1月,共完成各種上肢雙平麵離斷再植的患者29例,其中男21例,女8例,年齡1～70歲,平均28.6歲.根據離斷平麵及軟組織缺損情況的不同,採用不同的再植順序併聯閤血管神經、皮瓣移植等方法進行處理.結果 29例再植肢體全部成活,但有2例患者齣現傷口感染及3例患者齣現跼部軟組織壞死而髮生延遲愈閤.所有患者採用中華醫學會手外科學會斷肢再植功能評定標準進行評分,優9例,良14例,差4例,劣2例,優良率為79.3％.結論 上肢雙平麵離斷閤併組織缺損需要根據離斷平麵的不同採用不同的再植順序及閤理的組織移植方法,纔可以達到較高的成活率及較好的功能.
목적 탐토상지쌍평면리단합병연조직결손적재식방법.방법 자2003년1월지2013년1월,공완성각충상지쌍평면리단재식적환자29례,기중남21례,녀8례,년령1～70세,평균28.6세.근거리단평면급연조직결손정황적불동,채용불동적재식순서병연합혈관신경、피판이식등방법진행처리.결과 29례재식지체전부성활,단유2례환자출현상구감염급3례환자출현국부연조직배사이발생연지유합.소유환자채용중화의학회수외과학회단지재식공능평정표준진행평분,우9례,량14례,차4례,렬2례,우량솔위79.3％.결론 상지쌍평면리단합병조직결손수요근거리단평면적불동채용불동적재식순서급합리적조직이식방법,재가이체도교고적성활솔급교호적공능.
Objective To explore the replantation method of upper limb's biplane mutilation in conjunction with soft tissue defect.Methods From January 2003 to January 2013,29 patients with upper limb's biplane mutilation in conjunction with soft tissue defect were treated.There were 21 males and 8 females with the average age of 28.6 years.The youngest one was 1 year old and the oldest one was 70 years old.All the cases underwent different replantation order and transplantation by using vascular and nerve and flap according to the lesion they suffered,including the defected plane and soft tissue.Results All replantation limbs were survived besides 2 cases with infection and 3 cases of delaying healed due to the part of tissue necrosis.Among all 29 cases,9 cases got excellent recovery,14 cases were in good condition,4 cases were poor and 2 cases were bad.The totally excellent and good rate of upper limb function was 79.3％ according to the limb reattachment function evaluation criteria of Hand Surgery of the Chinese Medical Association.Conclusion It can obtain higher survival rate due to our different replantations and method of tissue replantation to cure double plane mutilation in conjunction with soft tissue defect of upper limb.
