| 手指侧方组织块完全离断再植的临床体会 |
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投稿时间：2016-06-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 江克罗 |
JIANG Ke-luo |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
598138122@qq.com |
| 张文正 |
ZHANG Wen-zheng |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
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| 叶恒力 |
YE Heng-li |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
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| 伍辉国 |
WU Hui-guo |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
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| 杨敏 |
YANG Min |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
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| 张崇建 |
ZHANG Chong-jian |
浙江省台州骨伤医院, 浙江 温岭 317500 |
Taizhou Orthopedics Hospital, Wenling 317500, Zhejiang, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第11期，第1049-1052页 |
| DOI：10.3969/j.issn.1003-0034.2016.11.015 |
| 基金项目: |
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中文摘要:
目的：探讨对手指侧方组织块完全离断行再植手术的必要性及方法。
方法：2012年3月至2015年4月，对62例各种原因导致手指组织块完全离断患者的治疗进行回顾性分析，其中男34例，女28例；年龄17~52岁，平均29.1岁。其中拇指27例，示指15例，中指13例，环指8例，小指2例，其中2指合并受伤3例，14例累及远侧指间关节；受伤至治疗时间30 min~2 h，平均1 h.全部采用急诊行再植术。术后随访观察手指外观、指端感觉及患指功能恢复情况。
结果：62例完成手术者中58例成活，成活指随访3~15个月，平均6.5个月，按照中华医学会手外科学会上肢部分断指再植功能评定试用标准评定疗效，优52例，良3例，可3例，优良率94.8%.
结论：对于手指侧方组织块离断再植存活后外观和功能良好，只要患者全身情况允许，远离断的指体尚完整，有可供吻合的血管和神经，都应力争对其进行再植。 |
| 【关键词】手指离断 再植术 显微外科手术 |
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| Replantation for complete amputated finger composite lateral tissues |
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ABSTRACT
Objective: To discusses the necessity and methods of replantation for complete amputation of finger composite lateral tissue.
Methods: From March 2012 to April 2015,62 cases of complete amputated finger lateral tissue for various causes were retrospectively analyzed,including 34 males and 28 females with an average age of 29.1 years old ranging from 17 to 52 years old,involved 27 cases of thumb,index finger in 15 cases,13 cases of middle finger,ring finger in 8 cases,2 cases of the little finger,2 fingers were injured in 3 cases,14 cases involving the distal interphalangeal joint. The time from injury to treatment was 30 min to 2 hour with an average of 1 hour. The appearance of the fingers,finger tip sensation and the recovery of the functional of the patients were followed up and observed.
Results: Of 62 cases,58 cases survived,the survival time was 3 to 15 months with an average of 6.5 months. According to the Chinese medical association upper part of replantation function evaluation standard to assess efficacy trial,52 cases were excellent,3 cases were good,3 cases were good,the excellent and good rate was 94.8%.
Conclusion: The appearance and function is good after block from the broken replantation finger lateral organizations survive,as long as the patient general condition allows,away from the broken body is complete,there are available for blood vessels and nerves anastomosis,it should strive to reattach it. |
| KEY WORDS Amputated finger Replantation Microsurgery |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 江克罗,张文正,叶恒力,伍辉国,杨敏,张崇建.手指侧方组织块完全离断再植的临床体会[J].中国骨伤,2016,29(11):1049~1052 |
| 英文格式: | JIANG Ke-luo,ZHANG Wen-zheng,YE Heng-li,WU Hui-guo,YANG Min,ZHANG Chong-jian.Replantation for complete amputated finger composite lateral tissues[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(11):1049~1052 |
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