| 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 |
| CN KeyWords: 前臂 手 损伤和损伤 显微外科手术 |
| EN KeyWords: Forearm Hand Wounds and injuries Microsurgery |
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| CN Abstract: |
| 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。 |
| EN Abstract: |
| 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. |
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