Yamano分区断指再植疗效分析 |
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引用本文: | 梁启善,郭小惠,杨小文,刘明龙,林钦扬,黄良任,李日添. Yamano分区断指再植疗效分析[J]. 实用手外科杂志, 2013, 0(3): 346-348 |
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作者姓名: | 梁启善 郭小惠 杨小文 刘明龙 林钦扬 黄良任 李日添 |
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作者单位: | [1]暨南大学医学院附属深圳华侨医院手足显微外科分院,广东深圳518111 [2]涪陵区郭昌毕骨科医院,重庆408000 |
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摘 要: | 目的探讨末节断指再植的临床疗效。方法2003年11月-2012年8月采用超显微外科技术吻合动静脉或仅吻合动脉、指尖放血的方法,进行YamanoⅠ~Ⅲ区断指再植60例72指。其中Ⅰ区18指,Ⅱ区22指,Ⅲ区32指。结果再植断指成活69指,成活率95.8%,按中华手外科学会上肢部分功能评定试用标准评定:优50指,良16指,差3指,两点辨别觉4-6mm。结论显微外科或超显微外科技术是末节断指再植成功的关键。
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关 键 词: | 末节断指再植 超显微外科 Yamano分区 |
Clinical analysis of replantation of severed finger in Yamano partition |
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Affiliation: | LIANG Qi-shan, GUO Xiao-hui, YANG Xiao-wen, et al (Branch of Hand and Foot Microsurgery, Affiliated Shenzhen Overseas Chinese Hospital to Jinan University, Shenzhen, Guangdong, 518111, China) |
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Abstract: | Objective To investigate the clinical efficacy of finger tip replantation. Methods From November 2003 to August 2012, we used a super-microsurgical technique for anastomosising artery, vein or only anastomosis artery and fingertips bled, to replanted finger 60 cases 72 fingers in Yamano Ⅰ - Ⅲ, zone Ⅰ 18 fingers, zone Ⅱ22 fingers, zone Ⅲ32 fingers. Results The 69 replanted fingers survival. The survival rate was 95.8%. According to the functional evaluation criteria formulated by Chinese Hand Surgery Society, results were excellent in 50 cases, good in 16 cases, and poor in 3 cases. The 2-point discrimination was 4-6 mm. Conclusion Microsurgical or super microsurgical technique is the key to replant success of distal phalanx severed finger. |
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Keywords: | Finger tip replantation Super microsurgery Yamano partition |
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