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手指钝性离断伤断指再植的手术治疗作用探讨
引用本文:周盟森,颜屈伦,张普,陈金家,景向,方沙沙,李玉凤.手指钝性离断伤断指再植的手术治疗作用探讨[J].中外医疗,2016(16):86-87.
作者姓名:周盟森  颜屈伦  张普  陈金家  景向  方沙沙  李玉凤
作者单位:1. 江苏徐州中铁二局医院手足显微外科,江苏徐州,221000;2. 四川省第四人民医院骨科,四川成都,610016
摘    要:目的:分析手指钝性离断伤实施断指再植术的方法和效果。方法方便选取该院于2014年1月—2015年12月收治的50例手指钝性离断伤患者作为研究对象,在显微镜下实施断指再植术,观察临床治疗效果。结果患者断指再植完全成活40例(80.0%)﹑部分成活7例(14.0%)﹑失败3例(6.0%),成功率为94.0%。结论断指再植术应用在手指钝性离断伤中具有可行性,彻底清创﹑准确吻合并修复血管和神经组织,能够提高手术成功率。

关 键 词:钝性离断伤  断指再植术  失败原因

To Investigate the Effect of Surgical Treatment of Broken Finger Replanta-tion from Blunt
Abstract:Objective To analyze the method and effect of blunt finger amputation replantation of the implementation. Methods Convenient selection in our hospital 50 cases of blunt finger severed trauma patients from January 2014 to Dectember 2015 as the research object, under a microscope, the implementation of replantation of severed fingers and ob-serve the clinical effect of the treatment. Results Patients with replantation of severed fingers survived completely in 40 cas-es (80%), partially survived in 7 cases (14.0%) and failed in 3 patients (6.0%). The success rate was 94.0%. Conclusion The application of replantation in blunt finger disarticulation injury is feasible, thorough debridement, accurate kiss with re-pair blood vessels and nerve tissue, can improve the success rate of surgery.
Keywords:Blunt Amputation  Replantation  Failure
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