摘要
目的 介绍全拇指脱套性损伤再植的方法与治疗效果。 方法 1991年 7月～ 2 0 0 2年12月 ,对 15例全拇指脱套性损伤进行再植 ,根据血管神经损伤程度采取相应修复方法 ,特别是采用静脉动脉化血运重建方式。 结果 再植 15指成活 14指 ,随访 6个月以上有 9例 ,有 2例出现虎口轻度挛缩 ,感觉恢复S4有 5例 ,S5有 4例 ,拇指外形及功能良好。 结论 全拇指脱套性损伤仍有较高再植成活率 ,临床上应尽可能进行再植。
Objective To introduce the treatment outcome and method of replantation of degloving severed thumb. Methods From July 1991 to December 2002,15 cases of degloving severed thumb were replaanted,repairing method of digital arteries and nerves may be decided depending on the severe grades of injury,especially venous ateriolized form of blood reconstrction. Results All 15 cases survived 14 cases.Follow up of 6 months in 9 cases showed satisfactory results functionally and cosmetically with good sensory recovery. Conclusions The good outcome of degloving severed thumb replantation could be obtained,so degloving severed thumb can be replanted.
出处
《中华显微外科杂志》
CSCD
北大核心
2004年第2期109-110,i003,共3页
Chinese Journal of Microsurgery
