| 手指末节脱套损伤特点与再植 |
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Received:June 20, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 蒋良福 |
JIANG Liang-fu |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 周飞亚 |
ZHOU Fei-ya |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 池征璘 |
CHI Zheng-lin |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 虞庆 |
YU Qing |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 褚庭纲 |
CHU Ting-gang |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 高伟阳 |
GAO Wei-yang |
温州医学院附属第二医院骨科医院手外科, 浙江 温州 325027 |
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China |
wygao1@163.com |
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| 期刊信息：《中国骨伤》2013年26卷，第8期，第637-639页 |
| DOI：10.3969/j.issn.1003-0034.2013.08.006 |
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目的: 探讨手指末节脱套伤的损伤特点及再植方法。
方法: 2004年至2009年,对18例19指末节脱套伤患者进行吻合血管再植术,男14例,女4例;年龄18～51岁,平均31岁。根据术中指动脉与撕脱皮肤撕脱平面不同分为3型,其中Ⅰ型6指,Ⅱ型10指,Ⅲ型3指。3例4指血管损伤严重终止再植,15例15指采用显微吻合血管方法再植。
结果: 15例完成手术者中,13例13指成活,2例2指术后坏死。13例成活指随访6～24个月,平均14个月,伤指外形及指甲生长外观满意。按中华医学会手外科学会断指再植功能评定试用标准评定,优9例,良3例,差1例。
结论: 末节脱套伤再植效果好,应尽量争取再植。 |
| [关键词]:指损伤 软组织损伤 再植术 修复外科手术 |
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| Characteristics and replantation of degloving injury of distal finger |
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Abstract:
Objective: To explore clinical characteristics and replantation methods of degloving injury of distal finger.
Methods: From 2004 to 2009,18 cases of 19 distal finger degloving were admitted,and included 14 males and 4 femals with an average age of 31 years old ranging from 18 to 51 years old. The distal finger degloving injury was divided into 3 types according to the different levels of degloveing digital artery and skin involving 6 fingers of typeⅠ,10 fingers of typeⅡ,3 fingers of typeⅢ. Among them,3 cases of 4 fingers were failed to be replantaed due to severed injured digital artery,and 15 cases of 15 distal finger degloving injury were replanted with microsurgical technique.
Results: Among 15 patients(15 fingers) conpleted the reimplant operation,13 fingers were survived,2 fingers were necrosis after operation. Thirteen survived fingers were followed up from 6 to 24 months (averaged 14 months). The appearance of injured fingers and nails obtained satisfactory results. According to Chinese Hand Surgery Society Criteria for function assessment replantation,the results were excellent in 9 cases,good in 3 cases and poor in 1.
Conclusion: Replantation of distal degloving injury is effective and it should strive for replantation. |
| KEYWORDS:Finger injuries Soft tissue injuries Replantation Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 蒋良福,周飞亚,池征璘,虞庆,褚庭纲,高伟阳.手指末节脱套损伤特点与再植[J].中国骨伤,2013,26(8):637~639 |
| 英文格式: | JIANG Liang-fu,ZHOU Fei-ya,CHI Zheng-lin,YU Qing,CHU Ting-gang,GAO Wei-yang.Characteristics and replantation of degloving injury of distal finger[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(8):637~639 |
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