摘要
目的评定一例前臂再植术后39年的患者的功能情况及存在的问题。方法根据中华医学会手外科学会上肢断肢再植功能评定试用标准,采用计分制对再植肢体的关节活动度、肌力、感觉、外形、遗留症状和工作情况及ADL进行评定。结果肢体功能评分为71分(71/100)；ADL单列评分为14分(14/20)。功能良好。结论本例前臂再植术后患者远期效果较为满意。感觉功能恢复不完全以及手内在肌萎缩是遗留的主要问题。
Objective To evaluate the functional outcome and long-term problems of a patient 39 years after forearm replantation. Methods The methods and criteria of the China Hand Surgery Association for limb replantation were used to evaluate motion, muscle strength, sensation, cosmesis, and subjective symptoms. Dexterity in vocational and daily living activities was also assessed. Results The final evaluation score was 71, and the activities of daily living score was 14. Conclusion The replanted forearm was functioning well. Protective sensation had returned, but fine discriminative ability had not, nor had cold tolerance.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2006年第12期822-824,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
肢体再植
功能
评定
Limb replantation
Limb function
Evaluation
