摘要
目的:探析显微外科再植手术对手指旋转撕脱离断伤断指患者的影响。方法:选取2021年1月—2022年1月贵州省建筑医院收治的60例手指旋转撕脱离断伤断指患者,随机将其分为观察组(n=30)和对照组(n=30)。对照组实施常规残端修整术治疗,观察组实施显微外科再植手术。比较两组手术效果,临床指标,指关节功能,术前及术后1个月日常生活能力。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组两点辨别觉短于对照组,指甲长度和远端指尖活动度均大于对照组,差异有统计学意义(P<0.05)。观察组指关节功能优于对照组,差异有统计学意义(P<0.05)。术后1个月,两组日常生活能力评分高于术前,观察组日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。结论:显微外科再植手术在手指旋转撕脱离断伤断指患者中应用效果显著,可改善临床指标,提高指关节活动度,改善日常生活能力。
Objective:To explore the effect of microsurgical replantation on patients with finger rotation avulsed injured amputated finger.Method:A total of 60 patients with finger rotation avulsed injured amputated finger who admitted to Guizhou Construction Hospital from January 2021 to January 2022 were selected and randomly divided into the observation group(n=30)and the control group(n=30).The control group was treated with conventional stump repair surgery,and the observation group was treated with microsurgical replantation.The operation effect,clinical indicators,finger joint function,daily living ability before operation and 1 month after operation were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The two-point discrimination in the observation group was shorter than that in the control group,and the nail length and distal fingertip activity were greater than those in the control group,the differences were statistically significant(P<0.05).The joint function of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).At 1 month after operation,the scores of daily living ability in two groups were higher than those before operation,and the score of daily living ability in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Microsurgical replantation has remarkable effect in patients with finger rotation avulsed injured amputated finger,which can improve clinical indicators,improve activity of knuckles and daily living ability.
作者
刘洋
LIU Yang(Guizhou Construction Hospital,Guiyang 550002,China)
出处
《中外医学研究》
2024年第15期124-127,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
