betway必威登陆网址 (betway.com )学报 ›› 2021, Vol. 42 ›› Issue (3): 181-184.DOI: 10.3969/j.issn.1004-7115.2021.03.005

• 论著 • 上一篇    下一篇

毁损离断肢体再植21例

关术   

  1. 茂名市人民医院手足显微外科,广东 茂名 525000
  • 收稿日期:2020-11-20 出版日期:2021-03-25 发布日期:2021-09-01
  • 作者简介:关术,副主任医师,主要从事手外科、显微外科工作,E-mail:zxjjhv@163.com。

Replantation of amputated limbs in 21 cases

GUAN Shu   

  1. Hand and Foot Microsurgery, Maoming People's Hospital, Maoming 525000, China
  • Received:2020-11-20 Online:2021-03-25 Published:2021-09-01

摘要: 目的 回顾性分析毁损性离断肢体再植修复成功处理要点,总结关键技巧。方法 2010年1月至2020年8月,收治肢体毁损性离断患者21例,其中前臂毁损离断1例,断掌2例,断掌合并断指1例,断指17例,采用统筹安排方法,利用超级显微外科技术,科学设计手术及分工,提高手术效率,实施手术。结果 1例小指毁损离断伤发生缺血坏死,其余全部离断肢体再植成功,明显缩短手术时间,降低手术风险,提高再植成功率,减少患者并发症。结论 合理科学设计手术方案,结合高超显微外科技术,可提高毁损离断肢体再植手术效率。

关键词: 断(肢)指, 断肢, 再植, 毁损性

Abstract: Objective: To analyze the key points and summarize the key techniques of successful replantation of severed limbs. Methods: From January 2010 to August 2020, 21 patients with limb disfigurement were treated, including 1 case of forearm disfigurement, 2 cases of severed palm, 1 case of severed palm combined with amputated finger and 17 cases of amputated fingers. Scientific design of surgery and division of labor were carried out to improve the efficiency of surgery and the implementation of surgery. Results: Iischemic necrosis occurred in one case of small finger injury, and all the rest were replanted successfully, which significantly shortened the operation time, reduced the operation risk, increased the success rate of replantation and reduced the complications of the patients. Conclusion: The reasonable and scientific design of the operation plan combined with superb microsurgical technique can improve the efficiency of replantation of damaged and severed limbs.

Key words: amputation, replantation, damage

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