摘要
１９８５年～１９９３年，采用吻合血管的部分趾或第２足趾修复与再造拇指未节全部或部分缺损５０例５１指，术后全部成活，获得较满意的治疗效果。随访到１９例表明，Ⅱ°缺损者经重建亏功能损失由１１％减为１．７％，其余平均５％减为零。感觉恢复：Ｓ３￣＋４２％，Ｓ４３７％，两点分辨觉４ｍｍ～１０ｍｍ。讨论了拇指末节重建的必要性、手术方式的选择、急症再造、血管的选择与处理及再造后的并发症等。
ifty-one thumbs with complete or partial loss of the
distal segment in 50 patients has beenreconstructed with transplantation of great or second toe
by microsurgical technique from 1985 to1993.All cases were survived and regained favourable
functions. Ninteen cases been follow-up after operation, with an average of 51 months. In the
group Ⅱ°of thumb lsdd,the overallfunctional impairment inproved from 11%to 1.7%, and in the
remaining cases,from 5%to0%. Sensation examination found in 42%, S4 in 37%and the two
point discrimination be-tween 4mm to 10mm. The merits of reconstruction of the distal thumb
segment was stated andemphasized .The choice of operative procedures,the advantages of
emergency reconstruction,the selection emphasized of anastomosis site of blood vessels and
the complications and sequelae ofthe donor foot were discussed in detaill.
出处
《中国修复重建外科杂志》
CAS
CSCD
1995年第1期19-21,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
拇指再造
拇指末节缺损
趾移植
显微外科手术
Thumb
reconstruction
Microsurgery
Distal segment of thmb
Toe transfer.
