摘要
探讨特殊类型断肢(指)的再植方法。方法:对468例9种特殊类型的断肢(指),采用原位、移位、缩短再植;胫后动脉皮瓣桥接肱动脉再植;邻指血管神经肌腱转移替代再植;无血再植;吻合离断关节复合组织体及其与肢体近远端离断的血管、神经等方法进行再植。结果:再植成功率达93％,功能恢复优良率达86％。结论:通过临床应用上述再植方法,扩大了肢(指)体毁损性离断伤,多指多平面离断伤,关节复合组织体离断伤,小儿及老年人肢(指)体离断伤等的再植指征。探索出对特殊类型断肢(指)再植的新方法。
Objectives:To introduce the operative methods of special type limb (finger) replantation. Methods:
468 cases of special type limb (finger) replantation were performed, which were divided into 9 catagories. Various procedures were applied to replant the severed limbs or fingers. These included orthotopic replantation, transposition replantation, decurtation replantation, replantation with posterior tibial artery flap raised on brachial artery, replantation by transposition of vessel, nerve and tendons from the adjacent finger,'no blood' replantation, replantation of joint composite segment via anastomosing its pass-by vessels and nerves with vessels and nerves of the proximal and distal stumps, and so on. Results: The overall survival rate was 93% , The ratio of recovery with favourable function was 86%. Conclusion: The indication of replantation was expanded concerning mutilating injury of the limbs and fingers , severance of multiple levels and multiple digits, severance of joint composite defect and severed limbs and digits of children and seniors. New methods were explored to rescue special type limb(finger) severance.
出处
《中华手外科杂志》
CSCD
1997年第4期218-220,共3页
Chinese Journal of Hand Surgery
关键词
臂
指
再植术
创伤和损伤
Arm Finger Replantation Wounds and injuries
