摘要
目的 探讨应用第1趾部分游离移植急诊再造拇指的临床效果.方法 2005年5月-2008年4月,急诊应用第1趾部分游离移植修复拇指缺损20例,其中IB类缺损6例,Ⅱ类缺损8例,Ⅲ类缺损6例.结果 再造拇指全部成活,术后随访期6个月～3年,拇指外形恢复,两点辨别觉6～12mm,根据中华医学会手外科学会拇指再造功能评定试用标准,再造拇指的功能优10例,良8例,可2例,优良率90%.结论 急诊应用第1趾部分组织游离移植再造拇指是修复拇指IB-Ⅲ区缺损可靠的方法.
Objective To study partial big toe transfer for the thumb reconstruction in emergency situation. Methods From April 2005 to May 2008, 20 thumb defects were reconstructed with partial complex dssues from the big toes in emergency situation. The classification of the thumb defects included type IB （n=6）, II （n=8）, and III （n=6）. Results The transferred complex tissues were survived in all cases. The follow-up period ranged half to 3 years. At the final follow-up, the contour of the reconstructed thumb was restored in all cases. The two point discrimination of the pulps was ranged 6 to 12 ram. According to Chinese Medical Association Society standard for reconstructed thumb assessment, there were 10 excellent, 8 good, and 2 fair. In this cohort, 90% of the thumbs were rated excellent to good. Conclusion Partial big toe transfer is a reliable technique for the thumb reconstruction in emergency situation.
出处
《实用手外科杂志》
2010年第3期200-201,203,共3页
Journal of Practical Hand Surgery
关键词
组织移植
急诊
拇指再造
Transfer
Emergency
Thumb reconstruction
