摘要
目的介绍拇指撕脱性损伤的显微回植方法与效果。方法2001年1月-2004年12月，对12例拇指撕脱性损伤的患者，采用血管移植、血管转位和神经转位等方法进行再植修复。结果拇指再植12例中成活11例，1例于术后发生顽固性动脉痉挛导致拇指坏死而截指。11例术后获得3—14个月的随访，拇指外形良好，感觉恢复至S45例，S3＋2例，S33例，S21例，运动功能恢复满意。结论拇指撕脱性损伤有较高的再植成活率，应尽可能地进行再植修复。
Objective To introduce the technique and outcome of mierosurgieal replantation of avulsed thumbs. Methods Twelve cases of thumb severance with avulsed injury were replanted between January 2001 and December 2004 by vein graft, vessel transposition and nerve transposition. Results Eleven cases survived. One thumb was lost due to postoperative refraetory arterial spasm that led to necrosis. The follow-up period range from 3 months to 14 months. The appearance and motor function of the replanted thumbs were good. Sensory recovery was S4 in 5 cases, S3＋ in 2 cases, S3 in 3 eases, and S2 in 1 case. Conclusion Replantation of avulsed thumb has a reasonably high survival rate. The function of the replanted thumbs is good. It therefore is important to replant the avulsed thumb whenever possible.
出处
《中华手外科杂志》
CSCD
北大核心
2008年第1期34-35,共2页
Chinese Journal of Hand Surgery
关键词
拇指
再植术
撕脱性损伤
Thumb
Replantation
Severance with avulsed injuries
