王树,王加宽,李俊,等.严重前臂及手部外伤的急诊修复.骨科,2014,5(2): 91-94. |
严重前臂及手部外伤的急诊修复 |
Emergency soft tissue repair of severe forearm and hand impairment |
投稿时间:2013-08-12 |
DOI:10.3969/j.issn.1674-8573.2014.02.008 |
中文关键词: 前臂 手 损伤和损伤 显微外科手术 |
英文关键词: Forearm Hand Wounds and injuries Microsurgery |
基金项目: |
|
摘要点击次数: 4691 |
全文下载次数: 4014 |
中文摘要: |
目的 探讨急诊修复严重前臂及手部外伤的治疗方法和疗效。方法 对36例严重前臂及手部外伤患者采用下述方法一期修复:重建血循环18例,带蒂组织转移覆盖创面5例,游离移植软组织覆盖创面23例,组合移植覆盖创面6例。结果 36例均获得随访,随访时间为6个月~8年,平均20个月。末次功能评定:优14例,良16例,可4例,差2例,优良率为83.3%。结论 对一些严重前臂及手部外伤,可以采用合理显微外科方法急诊修复来保留肢体的功能。 |
英文摘要: |
Objective To investigate the methods and treatment outcome for repairing severe forearm and hand impairment. Methods Thirty-six cases of severe forearm and hand impairment were treated with microsurgery techniques to repair and reconstruct the injured tissues. Among 36 cases, 18 cases were given blood supply repairing, 5 cases pedicled flaps, 23 cases free flaps and 6 cases combined flaps, respectively. Results After 6 months to 8 years follow-up with an average of 20 months, the functional recovery of the injured forearm and hand had an excellent result of 83.3%. Conclusion The microsurgical method is a useful procedure to repair the blood supply and reconstruct the function in one stage or by stages so that the damaged limb which may be cut off will be survived. |
查看全文
下载PDF阅读器 |
关闭 |